APPLICATION FOR MEMBERSHIP


PLEASE PRINT A COPY FOR YOUR USE

I enclose $15 in U.S. funds and a credential (copy of a poem or other writing I have authored).

I will be active in: Printing [ ] Editing [ ] Writing [ ] Publishing [ ]

NAME_______________________________________________
ADDRESS:___________________________________________
CITY_______________________________________________
STATE/PROV_________________________________________
ZIP_____________________COUNTRY____________________

Optional Information to include in roster:

PHONE___________________E-MAIL_____________________
URL________________________________________________

Make check or money order payable to UAPAA, and mail to: Deborah Beachboard, UAPAA Sec/Treas, 343 SW Pacific Ave, Chehalis WA 98532-2925.

Sponsored by: UAPAA WEBSITE


NOTE: The $15 membership is for one year, beginning with the month the new member receives the first mailing and ending after the 12th mailing when the next year's dues become renewable. Immediate family members may join at yearly dues of $2 for the first family member and $1 for each additional family member. However, only one bundle per month will be sent to a household.

As a member you will receive a monthly bundle containing the Official Organ and other organization papers as well as other papers written and published by members of UAPAA. You will be entitled to publish your own paper for insertion in the bundles, contribute your own work to the affiliated papers for publication, vote in the election of offices, run for offices when eligible, enter competitions for laureate awards and other contests and receive benefits from the various bureaus.


UAPAA OFFICERS 2004-2005

PRESIDENT:Jean Calkins, 260 4th St, Waynesville NC 28786
VICE-PRESIDENT:
OFFICIAL EDITOR: Hugh Singleton, 6003 Melbourne Ave, Orlando FL32835
MAILER: Deborah Beachboard, 343 SW Pacific Ave, Chehalis WA 98532-2925
CRITIC: Dusty Niendam, PO Box 303, Elmer City WA, 99124
RECORDER/HISTORIAN:
SECRETARY/TREASURER: Deborah Beachboard, 343 SW Pacific Ave, Chehalis WA 98532-2925
ACTIVITY MANAGER: Dusty Niendam, PO Box 303, Elmer City WA, 99124
MANUSCRIPT MANAGER: Jean Calkins, 260 4th Street, Waynesville NC 28786

BOARD OF DIRECTORS: William Yeager, Kent Chamberlain, James Lamanna, Jr., Vishnu P. Joshi, Don Peyer