The Hudson Valley Writers' Center
Membership Enrollment / Contribution Form

Name:

E-mail: Phone:

Street Address or P.O. Box:

City: State: Zip:

Please enroll me as a member of the Writers' Center at the following level:
Basic Membership: $35/yr - An individual member receives discounts on HVWC readings, Slapering Hol Press publications, and the waiver of workshop registration fees.
Family Membership: $50/yr -Family members receive discounts on HVWC readings, Slapering Hol Press publications, and the waiver of workshop registration fees.
Senior or Student Membership: $25/yr - Full-time students and seniors age 62 or greater receive all basic membership benefits.
Friend: $100/yr - $249/yr - A friend receives all basic membership benefits, plus any one of the following thank you gifts (please indicate your choice of gift):

• A signed, first edition copy of Pete Seeger's Storytelling Book (donated by Pete and co-author Paul DuBois Jacobs)
• A copy of one of our Slapering Hol Press poetry publications
• A Hudson Valley Writers' Center t-shirt especially designed for us by the late Jerry Garcia

Patron: $250/yr or more - A patron receives all basic membership benefits, plus all three of the thank you gifts listed above.
Additional Contribution: I have enclosed an additional contribution of $ *
Contribution Only: I do not wish to be a member of the Writers' Center at this time, but I have enclosed a contribution of $ in support of your programs. *

Please print and mail this form with your check or money order payable to HVWC, or your Mastercard or Visa number and expiration date, to:

The Hudson Valley Writers' Center
300 Riverside Drive
Sleepy Hollow, NY 10591

MC or Visa # Exp Date

* Non-membership contributions can also be made to the
Writers' Center by credit card through the
Network for Good website.

Thank you!

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