POETRY SOCIETY
OF OKLAHOMA
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Office Use Please initial |
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Date Rec’d |
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Date Recorded |
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#Check M.O. Cash |
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Name____________________________________________________
(As
you want it to appear in the yearbook)
Mailing Address_________________________________________________
(Street No./Box No.)
_______________________________________________________
(Please include
City, State, Zip Code)
TelephoneNo.(_____)_______________E-mail____________________
Do you want your E-mail Address
published in yearbook? _____Yes
_____No
(If not checked, E-mail address will not be
published)
Type of Membership:______Regular ______Life ______Student (Check
one)
Make checks payable to
Poetry Society of Oklahoma, or PSO
Send checks
to: Mikki Pennington
Membership Coordinator
P.O. Box 7842
Moore, OK 73153
NOTE: Membership dues are: Regular
Member-$20.00/year Student Member-$7.50/year
Do you belong to any other State Poetry Society?_____yes _____no (please check one)
If yes, do you receive the NFSPS newsletter,Strophes,from that Organization? ______yes ______no (please check one)
Become a PSO Donor! To become a PSO Donor, make a Contribution above your dues and
Sponsorship Fees. Please specify category on your check and mark it below:
PSO Angel:
$150 + __________ Oklahoma
Rose: $100 - $149 __________
Rose Rock:
$75 - $99 __________ Indian
Blanket: $50 - $75 __________
Red Bud: $25 - $49 __________ Thank you for your donation to PSO!