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Alabama State Poetry Society
Member Registration

Enter your contact information...

While only the fields in red are required for registration, filling in all fields will make the site more usefull to you and to other members.. Personal information such as address, city, state, zip, phone & email are required for our contact purposes. If you wish not to have these items displayed on the web site, simply click the appropriate check-boxes at the bottom of the form to suppress these items from displaying on the site.

Title: (Optional)
First Name: (Required)
Middle Name: (Optional - Middle Name/Initial)
Last Name: (Required)
Suffix: (Optional)
Address Line 1: (Required)
Address Line 2: (Optional)
City, ST ZIP: ,      (Required)
Phone Number: - - (Required)
Email Address: (Required)

The following will be your User ID and Password for logging back into the site. You will be required to enter these exactly as you have it here each time you log in... including capital letters and lower-case letters.

User ID: (Required) Use a name and password that is easy for you to remember, but difficult for someone else to guess. If you forget your User ID or password, we can email them to the email address that you entered above.
Password: (Required)
Retype Password: (Required)

As indicated above, personal information such as address, city, state, zip, phone & email can be suppressed from displaying on the web site, if you so choose. To prevent the display of given items, simply click the appropriate check-boxes to suppress a given item.

Suppress mailing address.     Suppress phone number.     Suppress email address.




After registration, your record will be entered into our database and will be activated for you to log in as soon as we receive your dues. Dues are $20.00 per year. Please mail with your dues check (along with your name, address, phone, and e-mail address) to:
Jodi Adamson, Treasurer
361 Rives Mill Loop
Deatsville, AL  36022
334-290-0239
adamsjo75@hotmail.com

For more info, e-mail our Officer,
Joe Whitten, at whitten93@windstream.net


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