SISTERS IN CRIME CHICAGOLAND CHAPTER

2012 MEMBERSHIP FORM

Please print clearly or type. Mail this form with your $20.00 check or money order payable to Sisters in Crime Chicagoland  to:

 

Annie Chernow

1709 Galloway Circle

Inverness, IL 60010

Email: chernow2@mindspring.com

 

Name:   ________________________________________________________________

 

Address:________________________________________________________________

                

(city) ___________________________ (state)___________(zip)________

 

Phone: (day)____________________________  (eve)__________________________

 

E-mail: _______________________________________________________________

 

CHECK ONE: _____NEW MEMBER    _____RENEWING MEMBER

 

CHECK ONLY the contact info you want to appear in the membership directory that is distributed only to our members:

 

Name ___      Address ___     Phone day ___   Phone eve ___   E-mail ___

 

CHECK the categories that apply to you:

            _____Published author         _____Unpublished writer   _____ Other (specify)

            _____Mystery reader/fan    _____Editor

            _____Bookseller                    _____Librarian

 

If you are a published author and would like your name and a link to your website placed on our SinCC website, please print or type below the information as you want it to appear on our webpage. Or use the reverse side.

 

______________________________________________________________________

 

______________________________________________________________________

 If you have questions or would like more information about the Chicagoland Chapter, contact Annie Chernow at chernow2@mindspring.com

 

PLEASE REMEMBER to apply and pay annual dues separately to Sisters in Crime National Organization. You must be a member of National SinC to join the local chapter. Apply or renew online at  www.SistersinCrime.org  or write to Sisters in Crime, P.O. Box 442124, Lawrence KS 66044. Thank You!