Registration form

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Registration Form

Your Name GenderMF AgeUnder 1818-30Above 30 Profession You wish to apply for which type of membership in the Golden QuillOffline (group meets at Lucknow only)Online (online group meets only)Both (includes online as well as offline access to the group) Do you have internet access at home? (not compulsory for membership)YesNo Contact Address Email Address (Std Code) Phone Number Mobile Number If you want Golden Quill to contact you through phone during specified time intervals in a day, please mention it here. (So that we do not disturb you in office hours etc.) Are you a published writer?YesNo If yes, please give a short account of your experience Which genres do you write in?Non-fictionThrillerRomanticChildren StoriesBiography, Memoir Horror or GothicFantasyScience fictionPhilosophyTragedyOthers Please specify others Would you like to give a small sample of your work so that judging your suitability for group becomes easier (Its not compulsory). If yes, please copy paste the text in the box. It should not be more that 3000 characters long Are you a member of any other writers' group?YesNo If yes, please give the name and location of group Do you have friends who are writers too?YesNo Do you agree to abide by the guidelines of membership and critique specified for Golden Quill membersYesNo You understand that Golden Quill might contact you through email/phone/post and you do not object to it (Golden Quill won't give your details to any third party and members also exchange the info amongst them on their own discretion)YesNo