Adult Membership Application - Denver Woman's Press Club

Membership Application

Please fill out the below information. If you would prefer to print and mail in the application, please use this form.

General Information

Name(Required)

First Last

Email(Required)

Cell Phone(Required)

Work Phone

Today's Date(Required)

MM slash DD slash YYYY

Website (if applicable)

Please indicate the appropriate membership category (check one):

Broadcast Media

Electric Media

Freelancer Writer

Editor/Publisher

Public Relations

Advertising

Marketing/Corporate Communications

Other

Documentation of Eligibility

File Upload

Please submit three samples of your work or one sample if it is a book.

Drop files here or

Accepted file types: pdf, doc, docx, odt, Max. file size: 256 MB, Max. files: 3.

Please list the items attached, or if you don't want to upload a file, please use this space to enter your information.

List your books, articles, and other paid works; please include dates of publication: Title, Type of Material (book, article, etc.), Publisher, Year.(Required)

If applicable, list works that you have self-published: Title, Type of Material (book, article, etc.), Publisher, Year.

Employer

If you are regularly employed by a newspaper or other print media outlet, radio or television station, or electronic media outlet OR if you have been a member of a public relations/advertising/marketing department or firm for more than a year, please provide the name of your company and describe your work there:

Personal Statement and Interests

Please attach a letter explaining why you seek membership in the Denver Woman’s Press Club. Tell us how you learned about our organization, what you are hoping to gain from membership, and what you might contribute as a member.(Required)

Accepted file types: pdf, doc, docx, odt, Max. file size: 256 MB.

Because the best way to make the most of your potential membership is to become involved, please indicate which of the following club activities would interest you (check all that apply):(Required)

Special events, such as the Jewelry Sale, Holiday Party, or Poetry Event

Club communications, such as newsletters, social media, or website

Programs Committee

Unknown Writers’ Contest Committee

Garden Committee

Fundraising Committee

Other areas of interest or any special talents or experiences you could share:(Required)

Sponsor and Endorser Information

Name of your sponsor (must be a member of the DWPC)

First Last

Name of your endorser (must be a member of the DWPC)

First Last

If you don’t know anyone in the club yet, just let us know—we’ll be happy to connect you with a sponsor and/or an endorser!

I need a sponsor

I need an endorser

I need both

Fees

Please pay online to cover the application fee.

Product Name

Price:

Total

Credit Card

Card Details

Cardholder Name

Billing Address(Required)

Street Address Address Line 2 City State ZIP Code

Consent for Public use of Photographs

Consent – Approved by DWPC Board June 25, 2019. In order to continue, please check below indicating you agree with the statement.(Required)

I agree.

Notice of photography, audio and video recording: When you participate in DWPC activities and as a member of DWPC, you enter an area where photography, audio and video recording may and will occur. By participating in DWPC activities, you consent to such photography and recording and to its release, publication, exhibition, reproduction, distribution, and use for news, social media, educational, promotional, advertising, and sale purposes and to its inclusion on and distribution through websites and in hard copy formats (collectively, “Uses”). Participating in DWPC activities you also consent to use of your image and voice, to the extent they appear in audio and/or video recordings and photographs. You waive all rights you may have to any claims in connection with All Uses of recordings and photographs, regardless of the purpose or sponsoring of such uses.

CAPTCHA

Name

This field is for validation purposes and should be left unchanged.

Full Name

Date

Address

Home Phone

Work Phone

Cell Phone

Website (if applicable)

Please indicate the appropriate membership category (check one):

Print Broadcast Media Electric Media Freelancer Writer Editor/Publisher Public Relations Advertising Marketing/Corporate Communications Other

DOCUMENTATION OF ELIGIBILITY

1. Please submit three samples of your work or one sample if it is a book.

2. List your books, articles, and other paid works; please include dates of publication: Title, Type of Material (book, article, etc.), Publisher, Year.

3. If applicable, list works that you have self-published: Title, Type of Material (book, article, etc.), Publisher, Year.

EMPLOYER

PERSONAL STATEMENT AND INTERESTS

Also, because the best way to make the most of your potential membership is to become involved, please indicate which of the following club activities would interest you (check all that apply):

Special events, such as the Jewelry Sale, Holiday Party, or Poetry Event Club communications, such as newsletters, social media, or website Programs Committee Unknown Writers’ Contest Committee Garden Committee Fundraising Committee

Other areas of interest or any special talents or experiences you could share:

SPONSOR AND ENDORSER INFORMATION*

Name of your sponsor (must be a member of the DWPC)

Name of your endorser (must be a member of the DWPC)

*If you don’t know anyone in the club yet, just let us know—we’ll be happy to connect you with a sponsor and/or an endorser!

I need a sponsor and/or endorser

FEES

Please enclose a check or pay online covering both the application fee and the club dues (see below for dues) Application fee of $100 + Dues of $ _____ = TOTAL of $ _____
Dues for applicants seeking membership from May 1 through December 31 = $95.00.
Dues for applicants seeking membership from January 1 through April 30 = $47.50.
The payment deadline for annual dues for all current members is May 1.

RELEASE FOR PUBLIC USE OF PHOTOGRAPHS:

Approved by DWPC Board June 25, 2019. In order to continue, please check below indicating you agree with the statement.

Please send your completed application if hand printing, work samples, and check for both the application fee and dues to:

Membership Chair
1325 Logan St.
Denver, CO 80203

Questions? Please reach out to us at membership@dwpconline.org.

Membership Application

General Information

Documentation of Eligibility

Employer

Personal Statement and Interests

Sponsor and Endorser Information

Fees

Consent for Public use of Photographs

DOCUMENTATION OF ELIGIBILITY

EMPLOYER

PERSONAL STATEMENT AND INTERESTS

SPONSOR AND ENDORSER INFORMATION*

FEES

RELEASE FOR PUBLIC USE OF PHOTOGRAPHS:

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