Arizona State Poetry Society New Member Form

Arizona State Poetry Society New Member Form

Complete the form below to sign up for a membership.
Name*

First NameLast Name
E-mail*
Phone Number:*

Area CodePhone Number
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
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ASPS Adult MembershipAge 18 and over.
$25.00



Free Time MembershipSponsor a person. Provide name below
$25.00



ASPS Youth MembershipAge 17 and under.
$5.00



TPS MembershipTucson Poetry Society Dues
$5.00



Total

$0.00
Please provide the Free Time sponsored person's name Name.
Branch Affiliation*

ASPS At-Large MemberEast Valley (EVP)Green Valley Poets' Corner (GVPC)Scottsdale Mustang Poets (SMP)Tucson (TPS)West Valley Poets (WVP)
How Did You Hear About ASPS*

Facebook/InstagramFellow PoetFree Time Mentor ProgramPersonal InvitationPosterTAPSWebsiteOther
If paying by CHECK, fill out and print this form, make the check payable to ASPS and send to Treasurer, Kris Perry at: 18473 – 69th Place N, Maple Grove MN 55311
Pay with Zelle

Please fill out this form, then click Submit.

To pay: From your banking app, send payment to azpoetryorg@gmail.com.
Pay with PayPal

Please click one of the PayPal options to complete payment and submit the form.
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