Mississippi Writers Guild Membership Form Mississippi Writers Guild P.O. Box 3845 Meridian, Ms 39305 NAME_______________________________________________ ADDRESS____________________________________________ CITY_______________________STATE____ZIP_____________ EMAIL_______________________________________________ PHONE_____________________CELL_____________________ Please circle amount paid. Annual Dues run April 1 through March 31 of each year. Dues paid on or before April 1 expire March 31st of following year Regular Membership $40.00 Senior/Student Membership $30.00 Prorated Dues Summer - July 1 through September 30th Regular Membership $30.00 Senior/Student Membership $22.50 Fall - October 1 through December 31st Regular Membership $20.00 SeniorStudent Membership $15.00 Winter - January 1 through March 31st Regular Membership $10.00 Senior/Student Membership $7.50 Date__________________ Amount Paid________________ Special interests, notes, or general information: MAIL IN FORM TO ADDRESS: P. O. Box 3845 Meridian, MS 39305