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 Email
Do you want to receive the Writers' Access newsletter by:   email   postal mail Is this a renewal?  yes  no In what kind(s) of writing are you most interested? poetry    fiction    nonfiction    children's / young adult    
Today's date Please make checks payable to Lane Literary Guild

Send to:
    Lane Literary Guild
    P.O. Box 11035
    Eugene, OR 97440