Membership Renewal

Are you renewing on behalf of an organisation? If so, check this option.

On Behalf Of Organization

Organisation Name *

Phone *

Use same email address as above.

Email *

Street Address *

City *

Postal Code *

Country *

State/Province *

Do you wish to subscribe to our free fortnightly enews?

Enews preference

Yes No

How did you hear about us?

Writers Victoria members can choose to make some of their profile information available to other members.

Include in Directory?

Yes No

Please select any fields you do NOT want to be included in the directory listing.

Hide from Member Directory

Your Registration Info

First Name *

Last Name *

Please share your pronouns if you feel comfortable to. We want to know how to respectfully refer to you.

Pronouns

Email Address *

Phone

Postal Code *

Please let us know about your access requirements (Auslan interpretation, flat-floor access, water bowl for assistance dog, etc.).

Access requirements

For catering purposes, please let us know any dietary requirements (vegetarian, vegan, gluten-free, fructose-free etc.)

Dietary requirements

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *