Joining form template: students

Step 1 of 4

Title *

Name *

First

Last

Writing Name *

This is the name that will appear on the next issue of The Author. If you would like us to list you under a different name, please get in touch.

Date of Birth

Occupation (other than writing)

Address (for correspondence – please note that ballot papers will be sent to this address during your membership) *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

Phone

Website / URL

As part of your SoA subscription, you are entitled to FREE membership of ALCS. For that reason, we send your name, address and date of birth (for identification purposes only) to the Authors’ Licensing and Collecting Society. Do you give us permission to share your details with ALCS? *

Message

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