PENNSYLVANIA POETRY SOCIETY, INC. - Membership Application
Steps: Open window fully. Complete form. Print form. Attach a check for the appropriate amount payable to PPS Inc.,marked "Dues" or "Patron." Mail the form and check to the address below:

Ann Copeland, PPS Treasurer
106 Hayden St.
Sayre, PA 18840

Name:
Address:
Address:
City:
State:
Zip:
Pen Name:
Telephone:
E-mail:

Type of Membership: (check one)
Regular @ $18.00
Patron @ $43.00 		Membership Status: (check one)
Member-at-Large
Chapter Member:

PPS, Inc, accepts new members officially between September 1 and November 30 of a calendar year. Please send application and dues after August 15.

New members: please state who encouraged you to apply for membership:
Optional: Attach a resume of your accomplishments and goals in poetry.