Mississippi Writers Guild Membership Form Mississippi Writers Guild P.O. Box 3845 Meridian, Ms 39305 NAME_______________________________________________ ADDRESS____________________________________________ CITY_______________________STATE____ZIP_____________ EMAIL_______________________________________________ PHONE_____________________CELL_____________________ Please circle amount paid. Annual Dues run April 1 through March 31 of each year. Dues paid on or before April 1 expire March 31st of following year Regular Membership $40.00 Senior/Student Membership $30.00 Prorated Dues Summer - July 1 through September 30th Regular Membership $30.00 Senior/Student Membership $22.50 Fall - October 1 through December 31st Regular Membership $20.00 SeniorStudent Membership $15.00 Winter - January 1 through March 31st Regular Membership $10.00 Senior/Student Membership $7.50 Date__________________ Amount Paid________________ Special interests, notes, or general information: MAIL IN FORM TO ADDRESS: P. O. Box 3845 Meridian, MS 39305
To join by mail, please print this form and mail to the address shown. Annual dues
cover April 1st through March 31st of each year and are prorated as shown.
