LAUREL LEAVES POETRY


Monthly Poetry Magazine



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POET AND POEMS OF THE MONTH

LÊ PHḀM LÊ




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APPLICATION FOR MEMBERSHIP

We’re glad that you’re joining us. You can join us in two ways: (1) Through online application, which as follows. or (2) Through hard copy form which follows after the online version.

For Online Application, please fill up the following fields.

Name:*
Address:*
E-mail:*
Website*
Landline:*
Cellphone: *
Place of Birth:*
Date of Birth:*
Nationality:*
Educational Background:*
Membership in Literary Organization:
Books / Poems (Published and Unpublished):
Prizes, Awards, Citations for Poetry and Service to Poetry:
Reference Books / Publications in which you may be listed:
Upload a Word document file with samples of your poetry and 2x2 photo:

 

For hard copy of the application form, please click here.


1. Send all application information, samples of poetry, and a 2” x 2” photo to:

Ms. Judy H. Cheung
Secretary, UPLI
704 Brigham Avenue
Santa Rosa, CA 95404-5245 U.S.A

 

2. Send Annual Membership dues of $25 (cash, check or money order made out to United Poets Laureate International) separately to:

Ms. Valerie Pennington
Treasurer, UPLI
P.O. Box 667
Munford, TN 38058, U.S.A