MEMBERSHIP APPLICATION

Please print out and mail with your payment to: Oregon Writers Colony, P.O. Box 15200, Portland OR 97293-5200.  

Questions?  Please leave a message at (503) 827-8072, and someone will return your call.  Or email 

NAME: ______________________________________________PHONE: __________________________________

ADDRESS: ____________________________________________________________________________________

CITY: _____________________________ ST: ______ ZIP:__________ EMAIL: _____________________________

I wish to JOIN Oregon Writers Colony at the following membership level:

REGULAR Membership $35-$99 per year :                                 Fee enclosed: $ _________

Give what you can.  You will receive six issues of the Colonygram, e-mail updates (if you want), and member rates at workshops and conferences.  You also have use of Colonyhouse at Rockaway Beach, the OWC writer's retreat for use of members only at rates far below the normal market after you have been a member for six months.

CONTRIBUTING membership: $100-$299 per year                  Fee enclosed: $_________    

In addition to the above, you support more creative programming and receive a copy of Seasoned With Words.

PATRON membership $300 - $500 per year                                Fee enclosed:$__________    

 In addition to the above, you help sustain OWC's future and receive a bonus night or half off a writer's week at Colonyhouse.

LIFETIME membership $1000 plus.                                                Fee enclosed:  $ _________        

In addition to the above, you get a lifetime of satisfaction, either one free weekend or one free writer's week at Colonyhouse, and no more dings for membership dues.

RENEW my membership  (at any of the above rates)                   Fee enclosed:$ __________

ADDITIONAL GIFT OPTIONS

COLONYHOUSE MORTGAGE REDUCTION:                           Fee enclosed:   $ __________

BUILDING MAINTENANCE FUND                                               Fee enclosed:  $ ___________

NAOMI M. STOKES SCHOLARSHIP FUND                              Fee enclosed:   $ __________

ELIZABETH  BOLTON POETRY SCHOLARSHIP FUND       Fee Enclosed:  $ ___________

                                                                                                  TOTAL ENCLOSED:   $ ___________                     

We want to get to know you.  Please fill out the following information:

Special areas of writing interest: ______________________________________________________________________

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Published work(s): ________________________________________________________________________________

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(Being published is not a requirement for membership in OWC)