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IPA Membership Form

Any resident of Iowa who writes or is interested in poetry is eligible for membership. Membership in Iowa Poetry Association runs annually from October 1st to September 30th of the following year. Dues should be paid on or about October 1st of each year.

Instructions: To join as a new member or to renew your membership:

Print out the blank membership form on this page. Fill it out in pen, then mail it with a check made out to:

Iowa Poetry Association

Regular dues - $8.00
Patron dues - $15.00

Current members should check their latest newsletter mailing label to see if current dues are paid. If not, please catch up by remitting for both years together.

Mail to:

Iowa Poetry Association
Marilyn J Baszczynski
16096 320th Way
Earlham, IA 50072


Please check one:       New Member        Renewal    

Name: ______________________________________________________

Address: ____________________________________________________

City, State, Zip: _______________________________________________

Telephone: (Home)___________________ (Work)___________________

E-Mail Address: _______________________________________________


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