Membership Form

Our Membership/Subscription-year begins January 1. All memberships are for a calendar year from January 1 to December 31. We strongly encourage members to renew during the Fall months for the upcoming year. Please send your dues to

Poets and Patrons Treasurer

Beth Staas
1725 35th St. #2101
Oak Brook, IL 60523

Membership Year
_____ 2017

Membership Status
_____ New
_____ Renewing

Regular Membership
_____ $20 United States

Contest Sponsorship
_____ $50 Sponsor

We are especially grateful to those who choose membership in special categories; It is difficult to meet our publication and mailing expenses on income from standard memberships only.

Payment method

_____ Check
_____ Money Order




____________________________________________________________________________________________Phone Number

____________________________________________________________________________________________Email Address