SASP LOGO REV A

Spokane Authors and Self-Publishers

Membership Form & Contact Information

(Copy, print, complete, and mail to Spokane Authors and Self-Publishers, P. O. Box 18573, Spokane, WA 99228-0573.  Alternately, e-mail completed form to SASP Secretary/Web-Master at daveeva@comcast.net)

 

Date _____________________

 

Dues payment of $_____._____ included _____ not included _____

(Dues are $15.00 per year, beginning in January and are pro-rated for those joining during the course of the year.  Contact SASP Secretary/Web-Master at daveeva@comcast.net for possible dues discounts)

 

New member ____ Guest ____ Current member updating information ____

 

Name __________________________________________

 

Address 1 _______________________________________

 

Address 2 _______________________________________

 

City/State/Zip _________________, _______   _____­_____

 

Phone #1 (______) ______ -- ________

 

Phone #2 (______) ______ -- ________

 

E-mail ___________________@_____________________

 

Web-site ________________________________________

 

Alt web-site ______________________________________

 

(May we provide a link to your site?  YES____ NO____)

 

Contact information is generally not published on the SASP web-site or in SASP NEWS.  It is shared amongst the Board of Directors and the Advisory Board for the sole purpose of conducting the organization’s business.  Group wide e-mails are sent “BCC.”  Contact information for SASP Officers, Advisory Board members, and those on the SASP speakers list is provided to the public as required.

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

 

 

 

Spokane Authors and Self-Publishers Listed Speaker

(You must be a member of Spokane Authors and Self-Publishers to be included)

Fill out and return to SASP Secretary/Web-Master at daveeva@comcast.net

or mail to

Spokane Authors and Self-Publishers

P. O. Box 18573

Spokane, WA, 99228-0573

 

 

Name: _____________________________________________

 

Contact: ___________________________________________

 

Will speak to: _______________________________________

 

__________________________________________________

 

On (subjects): ______________________________________

 

__________________________________________________

 

For (fees, etc.):______________________________________

 

Notes: ____________________________________________

 

__________________________________________________

 

__________________________________________________

 

 

Spokane Authors

& Self-Publishers

Page revised 11/22/14 DAM

©2014 www.spokaneauthors.org