NCPS Membership Form

Please print the following form (by clicking the button above), fill it out (please print clearly!) and mail to the address at the bottom of the form. Thanks for joining (or renewing)! We look forward to having you as a part of our poetry community!

Date _______________________________
Name________________________________________
Phone (     )____________
Address_______________________________________________________________
City_____________________________ State______________ Zip______________
Email Address __________________________________________________________

Membership Type

(check one):
Regular (Annual Dues $25) _____
Student (Annual Dues $10) _____
Lifetime ($400) _____
Please include a check for the appropriate amount (made out to NCPS) with your application.

Is this a New Membership?

(please circle):
YES or NO

Each new member may choose to receive a critique of three poems. If you wish the critique, send your poems in .doc format to critiques@ncpoetrysociety.org. Alternately, if you have no access to email, send three copies of each poem and two SASEs along with this form to the address below.

Want to Volunteer?

Please let us know if you would like to serve on a committee by specifying one of the following:
Workshops
Book Sales
Membership
Other: _____________

How to submit your membership information:

1. Email a biographical sketch of about 35 words (for our newsletter) to bios@ncpoetrysociety.org (or with your completed membership form to the address below if you have no email)
2. If you would like a critique of your poetry, email three poems, in .doc format, to critiques@ncpoetrysociety.org (or send three copies of each poem and two SASEs with your completed membership form to the address below if you have no email)
3. Send your completed membership form, and a check for the appropriate membership (made out to NCPS) to:

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If you need the file (PDF format) for the NCPS Membership Brochure, to handout at your event or at a NCPS event, it can be downloaded here: NCPS Membership Brochure