Membership Application
To join or renew: complete the form, print it out from your browser, and send it to the address below.
You may also use this form to update your information.
Please write UPDATE across the top if this is only an information update.
| $50 + Donor $25 Regular Membership | $35 Family Membership $15 Low Income or Student |
| Name | |
| Address line 1 | |
| Address line 2 | |
| City, State, Zip | |
| Phone | |
Is this a renewal?
yes no |
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| In what kind(s) of writing are you most interested? | |
poetry fiction nonfiction children’s / young adult |
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| Today’s date | |
Please make checks payable to Lane Literary Guild
Send to:
Lane Literary Guild
P.O. Box 11035
Eugene, OR 97440
