Lilac City Rochester Writers  

NAME ______________________________________________________________________________

PSEUDONYM(S) _______________________________________________________________________________________

ADDRESS __________________________________________________________________________

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PHONE (home) ______________________________________________

  (cell) ______________________________________________________

E-MAIL _______________________________________________  (If there is any doubt about a meeting being canceled, please check your email before you leave home.)

What do you hope to gain from joining LCRW?__________________________________________________________________________

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What genre(s) do you write?  __________________________________________________________________________

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Dues are $20.00 per year.

You can print this page and mail your dues to the following address or hand them in at the next monthly meeting.

Steven Yates

292 Mason Avenue

Rochester, NY 14626-3352