Writers Anonymous
Membership Application

Write, write, and then...
write some more!

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Return this Application via U.S. Postal Service to:
Writers Anonymous
P.O. Box 686
Cropwell, AL 35054
Full Membership fees are $20 per calendar year. However you do NOT have to be a full member of Writers Anonymous to attend our meetings or to read or listen to others reading their poetry. Everyone is invited to our meetings! Full members will receive other benefits during the year.   

Please PRINT All Information!

First & Last Name:    
Nickname:    
Street Address:    
City, ST and ZIP:    
Email Address:    
Home Phone:    
Cell Phone:    
Preferred Contact   
Method (Circle One):  
   E-Mail            Home Phone            Cell Phone
Signature:    
Date:    

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The WebMaster is Harry Moritz. This page was last revised on October 06, 2013.
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Writers Anonymous in Pell City, Alabama.
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