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Application for Associate Membership

Please read Membership Information and Services before applying; then fill out and print this form or send same information with the materials outlined below to:
The League of Canadian Poets
192 Spadina Ave., Suite 312
Toronto, ON
M5T 2C2

Please note:

Name:
Street Address:
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Country:
Telephone:
Fax:
Email:
Are you a: Canadian Citizen Landed Immigrant