Application to ML for an Existing Region

Interested in becoming a Municipal Liaison for an existing region? Fill out this short questionnaire.

Uw naam: *

What is your NaNoWriMo username?: *

Are you 18 or older?: *

You must be 18 or older to be a Municipal Liaison.

What is your email address?: *

What is your current mailing address?: *

We will only use this to send you giveaway goodies for your local writers.

What region are you applying to ML for?: *

If the region has an ML, have you been in contact with him/her about being a Co-ML?: *

What years have you participated in NaNoWriMo?: *

You must have participated in NaNoWriMo at least once to become a Municipal Liaison.

What years have you won NaNoWriMo?: *

What is the region closest to you that already has a Municipal Liaison?: *

To see a list of regions that already have Municipal Liaisons, check out our ML contact form.

Why do you want to be an ML? What is the craziest trait you'll bring to the post?: *

How many NaNoWriMo participants would you estimate are in your area?: *

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