NYCPlaywrights Writer Membership Form

Date:__________________________________________________

Name: _________________________________________________

Pen Name: __________________________________________________

(if you prefer to use it rather than your real name)

 

Contact Information:

Phone: _____________________________________________________

Email: ______________________________________________________

Are you a member of the Dramatists’ Guild?         YES        NO 

(circle one)                                                         

 

NYCPlaywrights offers writer membership for 5-month periods. There is a fee of $60 for each membership period.

 

Please make checks payable to NYCPlaywrights.

The membership fee is not refundable and membership may be discontinued at the discretion of NYCPlaywrights. Membership fees will be deposited in a dedicated account and periodic reports on the account will be made to writer members.

NYCPlaywrights is a 501(c)(3) nonprofit corporation.

I understand and agree to these terms

Your signature: ____________________________________________________________

Checks can be mailed to:
NYCPlaywrights
226 Highpoint Avenue
Weehawken, NJ 07086