Please support Philippine American Writers and Artists, Inc.
(You may copy and paste this form and print it out or send as an e-mail.)
PAWA, Inc. does not require fees for membership. A donation of the amount you choose will help the organization continue its activities.
Check the appropriate category.
A. Writer:______
B. Artist (visual, music, performance, etc.):______
C. Book/Art Related Field:Distributor/Publisher/Editor/Other:______
D. Patrons (Non-writer, artist, book/art related fields): _______
New member: ____
•If you are in the writer/artist categfory, please include a brief, general description of your background and work.
•If published, list relevant publications. If samples of your work are available online, include URL’s featuring your work and any other pertinent URL's that we could use to promote your work.
Continuing member: ____
Suggested Donations (Please indicate the amount.)
•Other amount: ...... ...._______
•Level I: $20.00+ ........_______
•Level II: $50.00+ ......._______
•Level III: $100.00+ ... _______
•Level IV: $250.00+ ...._______
•Level V: $500.00+ ....._______
•Level VI: $1,000.00+ ._______
•All donations are tax deductible.
*As a special gift for this drive, donations of $50 and above will receive a copy of Field of Mirrors. If you are eligible for a complementary gift and choose not to receive it , please indicate your choice below. In case you choose to send the complimentary gift(s) to someone other than you, please include their name and address below or in an e-mail.
I choose not to receive the complimentary gift: _____________
Please send book to: _________________________________________________________
Please put a check next to your preference:
I want to be a member and wish to be on the PAWA Yahoo listserv: ___________
I want to be a member, but do not wish to be on the PAWA Yahoo listserv: ___________
I want to be a member, but will donate at another time:___________
Name:....__________________________________
Address: __________________________________
..............__________________________________
..............__________________________________
Phone number: _____________________________
E-mail: ___________________________________
Website: __________________________________
Send to:
PAWA, Inc.
PO Box 31928
San Francisco, CA 94131– 0928
or e-mail: pawa@pawainc.com
You may also donate by clicking on the donate button below.