Name (first and last required) *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

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How did you hear about The Writers Room?

From a current WR Member

From a Non-Member Writer

From a Literary Organization

From a News Article

Searching the Internet

Social Media

At an Author Talk or Literary Event

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If this application is approved, I understand that the privileges may be cancelled if the rules and regulations governing The Writers Room are not adhered to and, upon notice from The Writers Room, I agree to forfeit my membership, keys or other evidence of admission. I further agree not to hold The Writers Room responsible for loss of, or damage to, any books, notes, clothing, typewriters, computers, drafts, or other property belonging to me. *

By checking this box I agree to the above statements.

Have you been a member of or used other communal workspaces/writing spaces during the past four years?

Yes

No

Do you belong to any writing organizations, guilds, unions, or literary groups?

Yes

No