Please fill out our Membership Application Form

Note: Your membership dues cover the membership year of June 1 thru May 31.

* required information
Name: *
Email: *
Birth Date (day & month): *
Occupation Title: *
Business Name: *
Business Address:
State, Zip:
Home Address:
State, Zip:
Please indicate whether you would prefer to receive mail at home or work: *
Home Phone: *
Office Phone:
Purchase Membership Online
or pay via Snail Mail ?:
Type of Membership:
• Student Membership: $30
• Active Membership: $45
• Network Membership: $45

• Sponsorship Membership: $100
Your name is a “required entry” into the WNBA National Directory.
Uncheck this box if you don't want your information such as
home address, phone number, email, etc in the WNBA National Directory

Opportunities for greater involvement (optional) Your responses in this section will help us with our planning.

1. Ongoing chapter activities: (please check the box next to the activity you are interested in)

I would be interested in exploring further involvement as...

A member of the chapter's governing board (entails attending quarterly planning meetings; other responsibilities on a voluntary basis)

Editor or contributor to the chapter's newsletter

Chapter correspondent for WNBA National's newsletter, The Bookwoman

Web mistress or assistant for the chapter's postings on the National web site

Email coordinator, membership chair, publicity chair, or corresponding secretary

A member of the support committee for the Judy Lopez Awards for Children?s Literature (you could choose among a wide range of helpful tasks)

2. Email networking:

I would like to be part of an informal WNBA/LA network that would enable me to learn/tell about book-related or other worthwhile events and see who else from our group might like to go. My interests are:

General fiction and non-fiction (author signings, lectures, etc.)
Children's literature
General cultural events (museum exhibits, concerts, etc.)

3. I belong to the following literary or cultural groups.

I would be willing to pass along news of their events.
I could share news of appropriate WNBA events with them.

4. Program and small-group meetings:

I would like to suggest the following topics for general programs or workshops:

I am willing to be a program speaker or workshop facilitator on the following topics:

I am interested in attending smaller, more frequent meetings organized as a
book discussion group a writing workshop

5. Venues:

I would consider hosting a members-only event in my home.
Through my employment or my membership in other groups, I can suggest a free or low cost meeting room or a pleasant, reasonably priced restaurant where WNBA could hold an event open to the general, book-loving public. Call me about it.
I know a library, museum, bookseller, etc. that could provide both a program and a venue (both of which could be combined as a tour) for a special meeting.

In order to complete your listing in the WNBA National Directory, please check the appropriate boxes below. These will be your “search” professions/keywords in the Directory.
Los Angeles Indexer
Advertising Promotion Journalist
Agent Librarian
Artist Designer Library Administrator
Attorney Library Staff
Author Media Specialist
Author Children's Literature Other
Author Fiction Permissions/Copyrights
Author Nonfiction Poet
Book Club Print/Film/Broadcast/Media
Book Packager Professional Training
Book Production/Manufacturing Proposal Writer/Editor
Book Trade Allied Association Publicity/Public Relations
Bookseller Publisher
Bookstore Researcher
Children's Literature Retired
Community Service Reviewer Critic
Consultant Sales Marketing
Copy Editor/Proofreader Subsidiary Rights
Desktop Publishing Teacher Instructor
Editor Technical Writer-Editor
Electronic Publishing Translator
Exhibitions/Library/Museum Web Designer
Freelance Editor Wholesaler Distributor
Freelance Writer Writer
Human Resources/Recruitment

NOTE: After you click the submit button you will be directed to a new web page for your payment.