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Cincinnati Writers Project  

Membership Form

Print this form and mail with your membership dues to:
Cincinnati Writers Project
P.O. Box 29920
Cincinnati, OH 45229-0920

Name:
Address:
City: State: Zip:
Phone (Home): Phone (Work):
Please circle your areas of interest:
Fiction
Nonfiction
Script/Screen
Poetry
Children's
Young Adult
Workshops
Video Production
Read-Alouds
Speaking
Critique Groups (Poetry    Fiction    Nonfiction)
Membership Levels:
Lifetime - $500
One Year Memberships
Benefactor - $250
Patron - $100
Contributor - $50
Family - $35
Individual - $25