MEMBERSHIP FORM

Membership Information     $20 Annual Dues

If paid after the Feb. meeting, there is a $5 additional charge, so get your membership in early!

Name:_______________________________________________

Address:_____________________________________________

City: _________________   State:_______      Zip: ___________

Telephone: ______________

E-Mail:_________________

Dues for year 200___    Amount:_______  New:___  Renewal:___

Date Paid:______________   Check No.: ________   Cash:______

Please include a 35 word bio:

 

Please make check payable to Ozarks Writers League, complete form and bring to meeting, or mail to:

Brenda Brinkley

831 Plank School Road

Marshfield, Missouri   65706

Dues are renewable in February of each year.