A Bravenet.com Contact Form

AWSA Membership Application

Thank you for applying. We have several levels of membership for which you may qualify. Please fill out the fields below. IMPORTANT NOTE -- once you fill out the form, you must hit submit TWICE: the first time to edit and approve, and the second time to actually submit. Otherwise, we will never see your application. Thank you so much for applying! We will be in touch within 7 days.

Your Name *

Your Email *

Ministry or Business Name

Phone Number *

Mailing Address *

City *

State *

Zip *

Do You Believe in John 3:16? "For God so loved the world, He gave His ever begotten son that whosoever believeth in Him, should not perish but have ever lasting life."? * Yes No

I am: * Female Male Other Rather not disclose

How did you hear about our membership programs? At a Conference Through a Friend Other

If you heard about us from a friend, what is your friends name?

If you have a website or url, please include it here:

Include your Facebook url:

If you are a speaker, approximately how many times did you have a PAID speaking engagement in the last four years? (Do not count speaking you did as a volunteer, for example, like teaching a Bible study at your own church.)

Other media you are currently involved in. (i.e. Internet, radio, television, etc.) :

Tell us about any radio, television or other programs or shows you currently host or are involved in:

List up to five of your most recent published books along with year released, as well as the name of your publisher.

Please check all that apply about the books you listed above. Traditionally Published (you are paid. Your publisher does not sell promotional packages to help you promote.) Self -Published (you do it yourself) Subsidy Published (you pay to publish and/or promote) Hybrid Published (you do not get a signing bonus, but royalties later.) Not Published Yet- wanting to become published

Please include the Amazon urls of the up to five listed books above.

Please include the ISBN numbers of the up to five listed books above.

List up to five Kindle or Ebook ONLY: (Meaning - books you published exclusively as electronic-only books on Amazon or CBD.)

If you have not yet published a book, but have a book under a SIGNED contract with a publisher, please list the title, the publisher, and the date to be published.

If the question about your first book under contract applied to you. Please check if the book is to be: This question did not apply to me. Subsidy Published (you pay to publish and/or promote) Hybrid Published (you do not get a signing bonus, but royalties later.) Traditionally Published (you are paid. Your publisher does not sell promotional packages to help you promote.)

If you have written more than 5 PUBLISHED books, please tell us the number of individual titles you have published. (count only titles, not the various forms in which the books were published. Do not include books under contract.)

Testimony in approx 100 - 300 words:

Submit Your 50 to 100 word bio.

Why would you like to be a member of a Christian Author and or Speaker Membership Group?

Please add me to the mailing list for your writing conferences. Yes please. Not now.

Please add me to the prayer loop for AWSA. Yes No

I understand that upon successful submission, I will be redirected to the payment page to pay the $50 application fee which is fully refundable and covers the 1st year of membership. * I understand I don't understand

I acknowledge that I will have to hit "submit" twice: once for personal review and then again for it to reach AWSA. * I will hit "submit" twice. I don't understand

Thank you for applying! If you have any questions, reach out to our administrator Carla Wicks at carlareply@gmail.com any time.