![]() |
|||
| CANADIAN POETRY ASSOCIATION 2007 MEMBERSHIP FORM PRINT OUT FORM Name:________________________________________________ _____________________________________________________ Address: _____________________________________________ _____________________________________________________ City/Town: _____________________________________________ Postal Code: __________________________________________ Phone:_______________________________________________ E-mail: _______________________________________________ ( ) Please include me in your email update submission list Membership Details ( ) $30.00 Regular Membership Rate ( ) $20.00 Student/Senior/Fixed income ( ) $40.00 International Membership ( ) New Membership ( ) Renewal ( ) $50.00 Association Membership Rate for Poetry Groups The CPA Membership is based upon the calendar year (January 1st to December 31st) no exceptions. No refunds. Membership includes a subscription to Poemata newsletter. All cheques payable to: Canadian Poetry Association 331 Elmwood Dr. Suite 4-212 Moncton, NB, Canada E1A -1X6 thank you for joining..Brian Stevens, CPA Treasurer CPA is a non-profit organization supported by members, the generosity of patrons and gifts from individuals. CPA welcomes donations on all levels. A donation of $50 or more entitles donors to membership in the Friends of Canadian Poets and a complimentary one-year subscription to Poemata. For further information on services and programs, or to make a donation, please contact us at the address below: CPA 331 Elmwood Dr. Suite 4-212 Moncton, New Brunswick, Canada E1A 1X6 |
|||