Midwest Travel Writers Association
2013 MTWA DIRECTORY
ACTIVE MEMBER LISTING
Please complete the following to be included in the 2013 MTWA electronic and printed directory then return it to or mail it to MTWA, 902 S. Randall Road, Suite C311, St. Charles, IL 60174. Completing this form and returning electronically by January 31 will expedite the process of creating these directories. If we do not receive this form, we will list only your name, address, and phone numbers.
Remember—the directory is an important resource for our members and a significant revenue source for MTWA. We need to make sure it contains information that clearly represents your scope of work.
Year Joined MTWA:First Name:
Middle Initial:
Last Name:
If two last names, indicate which you wish to be listed under:
Name on Passport:
Title:
Company:
Address:
City:
State:
Zip:
Office Phone (with area code):
Home Phone (with area code):
Cell Phone (with area code):
Fax (with area code):
Toll free:
Personal E-mail:
Business E-mail:
Other E-mail:
Twitter Handle:
Facebook Page:
My dotcoms:
Travel Blog:
Personal Website:
Company Website:
Spouse Name:
MTWA Offices Held:
Media outlets 2009-Present: / Publication Name / Date of Publication
Example: / Chicago Sun-Times / October xx, 2012
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Books (within the past 5 years; include book title, date, and publisher:
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Writing Specialties (Everyone will be listed under General Destination Travel unless you choose not to):
Category: / Yes OR / No
General Destination / X
Food & Wine
Golf
Outdoor
Family
Getaways
Culture & History
Luxury
Budget
Quirky
Apps & Guidebooks
Senior (50+)
Adventure Travel
Business Travel
Women's Travel
Cruising
Camping/RV
Bed & Breakfasts
Green Travel
GLBT
Art
Antiques
Shopping
Other (please list):
Stock Photography (no more than 10):
Awards/Recognitions (no more than 10 in the past 5 years – include name and year of award and/or honors):
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Member List on
Do you want to be listed on our website? (Your name, city, and state will be listed) / Yes ______No ______
If yes, do you want a link to your website? / Yes ______No ______
If yes, please list your website:
Do you want a link to your blog? / Yes ______No ______
If so, please list your blog.
902 S. Randall Road, Suite C311 St. Charles, IL 60174 888-551-8184