Liberty States Fiction Writers Membership Application

I Agree to the terms of the LSFW Honor Code

Membership Status

* Name

* Pseudonym

List Pseudonym on Lists and Roster?

* Email

* Address

* Phone

Make Address/Phone Available to Members Only?

* Please provide a short bio

Published in Fiction?

2011 Fiction releases (please note publisher and month of release)

Backlist of your publications

Website Address

Link to video trailer (if any)

How did you hear about LSFW?

If invited by a LSFW member, please provide LSFW member name

Are you interested in volunteering?

If yes, please check areas of interest

Making payment by:

* Verify