
Spokane Authors
Membership application and SA Listed
Speaker Forms

Membership
Form & Contact Information
Copy, print,
complete, and mail to Spokane Authors, 2504 W. Walton Ave., Spokane, WA 992058-1569. Or, e-mail completed form to spokaneauthors@gmail.com or daveeva@comcast.net or bring to our next
meeting
Date
_____________________
Dues payment of
$_____._____ included _____ not included _____
(Dues are $15.00 per
year, beginning in January and are pro-rated for those joining during the
course of the year. Contact at spokaneauthors@gmail.com
or daveeva@comcast.net) for possible dues discounts)
New member ____
Guest ____ Current member updating information ____
Name
__________________________________________
Address 1
_______________________________________
Address 2
_______________________________________
City/State/Zip _________________,
_______ _________--______
Phone #1 (______)
______ -- ________ Phone #2 (______)
______ -- ________
E-mail
___________________@_____________________
Website ________________________________________
Alt website
______________________________________
(May we provide
a link to your site? YES____ NO____)
What do you
write? (Optional)________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Contact
information is not published on the website or in SPOKANE AUTHORS LITERARY
GAZETTE It is shared with current and
recently current members to conduct the organization’s business, and so members
can contact each other. Contact
information for Officers, Board Members, and Spokane Authors Speakers List participants
is more widely distributed.

Spokane Authors Listed Speaker
(You must be a member
of Spokane Authors to be included)
Fill out and return to
Spokane Authors at authors@spokaneauthors.org or daveeva@comcast.net
Mail to
Spokane Authors
2504 W. Walton Ave.
Spokane, WA, 99205-1569
or bring to our next meeting
Name: _____________________________________________
Contact: ___________________________________________
Will speak to: _______________________________________
__________________________________________________
On (subjects): ______________________________________
__________________________________________________
For (fees, etc.):______________________________________
Notes:
____________________________________________
__________________________________________________
__________________________________________________
Note: Contact
information you provide is made available to the public in general so
individuals and organizations can contact and invite you to speak.

Spokane Authors & Self-Publishers
Page revised 07/314/2026
DAM
©2026
www.spokaneauthors.org