Monadnock Writers' Group
Membership Application

We can't register you on-line, but we offer this registration form for your convenience. Please print it out, fill in and mail with your check or money order to Monadnock Writers' Group, P.O. Box 3071, Peterborough, NH 03458. Membership entitles you to a newsletter subscription and invitation to submit entries to our publications, and opportunity to read your work at our meetings.

box   $15 Student
box   $25 1-Year Membership
box   $50 Patron
box   $100 Benefactor
box   $250 Corporate Sponsor

Name

Street Address

Apt. #

City/Town

State, Zip

Home Telephone

Work Telephone

Email

Writing Interests

Publication Credits

Please check the programs you're most interested in:

box   Monthly meetings
box   Writers' workshops
box   Public readings
box   Newsletter
box   Publications
box   Other (specify)