MEMBERSHIP APPLICATION/RENEWAL, UTAH STATE POETRY SOCIETY
Send to: Utah State Poetry Society, c/o Rosalyn Ostler, 7685 Dell Rd., Salt Lake City, UT 84121-5221
I am submitting $25 (student $15) in payment for membership in the Utah State Poetry Society for the calendar year_______ (Jan-Dec). This entitles me to all membership benefits.
Make check to USPS.
PLEASE PRINT
Name:__________________________________________________________ Date___________________________
Address________________________________________________________________________________________
City/State___________________________________________________________________ Zip_________________
Phone__________________________________________ E-mail__________________________________________
QUESTIONS: Contact Rosalyn Ostler at 801-943-4211, or by email: rosieo1@juno.com
MEMBERSHIP APPLICATION/RENEWAL, UTAH STATE POETRY SOCIETY
Send to: Utah State Poetry Society, c/o Rosalyn Ostler, 7685 Dell Rd., Salt Lake City, UT 84121-5221
I am submitting $25 (student $15) in payment for membership in the Utah State Poetry Society for the calendar year_______ (Jan-Dec). This entitles me to all membership benefits.
Make check to USPS.
PLEASE PRINT
Name:__________________________________________________________ Date___________________________
Address________________________________________________________________________________________
City/State___________________________________________________________________ Zip_________________
Phone__________________________________________ E-mail__________________________________________
QUESTIONS: Contact Rosalyn Ostler at 801-943-4211, or by email: rosieo4@juno.com
MEMBERSHIP APPLICATION/RENEWAL, UTAH STATE POETRY SOCIETY
Send to: Utah State Poetry Society, c/o Rosalyn Ostler, 7685 Dell Rd., Salt Lake City, UT 84121-5221
I am submitting $25 (student $15) in payment for membership in the Utah State Poetry Society for the calendar year_______ (Jan-Dec). This entitles me to all membership benefits.
Make check to USPS.
PLEASE PRINT
Name:__________________________________________________________ Date___________________________
Address________________________________________________________________________________________
City/State___________________________________________________________________ Zip_________________
Phone__________________________________________ E-mail__________________________________________
QUESTIONS: Contact Rosalyn Ostler at 801-943-4211, or by email: rosieo1@juno.com