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 3-month periods.

Standard Membership: there is a fee of $60 for each membership period.

Worldwide Writer Membership: there is a fee of $120 to cover the time/cost of recording the reading

Please make checks payable to NYCPlaywrights.

Membership may be discontinued at the discretion of NYCPlaywrights.

Only weeks during which NYCPlaywrights holds meetings will be counted against the membership period.

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

I understand and agree to these terms

Your signature: ____________________________________________________________

Checks can be mailed to:
NYCPlaywrights
3044 29th St
7P
NY NY 11102