OKC WRITERS, INC.

(3^rd Sat., 10:00 AM, OCU Meinders Bldg.)

APPLICATION FOR MEMBERSHIP

DATE: __________________ 
 
COMPLETE & RETURN THIS APPLICATION WITH YOUR PAYMENT BY CHECK OR MONEY ORDER FOR $20.00 ANNUAL (JANUARY – DECEMBER) DUES,

      MADE PAYABLE TO: OKC WRITERS, INC.

 
 
CHECK ONE:      
 
_____ New Member   _____ Check if you prefer your Newsletter 
______Renewal    &/or Yearbook/Directory to be e-mailed 
 
PLEASE PRINT: 
 
NAME____________________________________________________________ 
 
STREET ADDRESS_________________________________________________ 
 
CITY______________________________STATE__________ZIP____________ 
 
TELEPHONE NUMBER(S)__________________________________

OTHER NUMBER__________________________________________ 
 
EMAIL_____________________________________________________________

HOME PAGE URL: __________________________________________________ 
 
WRITING INTERESTS: ______________________________________________ 
 
____________________________________________________________________

Send by U.S. Mail

TO:

OKC Writers, Inc.

Jean Stover, 2010 Treasurer

2934 NW 20th Street

Oklahoma City, OK 73107