Creative Voice Foundation Membership
Individual/Family
($25.00) Mailing Address Name ญญญญญญญญญญญญญญญญญญญ ________________________________ Address ________________________________
________________________________ Email ________________________________ Billing Address
(If given as a gift) Name ญญญญญญญญญญญญญญญญญญญ ________________________________ Address ________________________________
________________________________ Email ________________________________

Business
($50.00) ท
4 issues of The Writers Block ท
Discounts at CVF sponsored events ท
Mailing list updates ท
Advertisement on our web links page ท
Acknowledgement on The Writers Block
sponsors page Mailing Address Business ญญNameญญญญญญญญญญญญญญญญญ ________________________________ Address ________________________________ ________________________________ Contact
Person
________________________________ Email
________________________________ Website ________________________________

Please make checks payable to Creative Voice Foundation and
mail along with this form to:
Creative Voice Foundation
P.O. Box 8601
Collingswood, NJ 08108