Please Print and send to:

Writers on the Edge, Inc.
PO Box 85
Newport, OR 97365

Support WRITERS ON THE EDGE at one of these levels:

$__________ (over the edge!)

[__] $1,000

[__]$500

[__]$250

[__]$100

[__]$50

[__]$25

Name: ________________________________________________

Address: ______________________________________________

City, State, Zip: ________________________________________

Telephone: ____________________________________________

E-mail: _______________________________________________

My check for _______________ is enclosed.

Charge $___________________ to Visa Mastercard

Account # ______________________________________________

Exp. date: ______________________________________________

Signature: ______________________________________________

Writers On The Edge, Inc. is a non-profit corporation recognized by the IRS as a tax-exempt 501(c)(3) organization. Your contribution is tax-deductible to the fullest extent of the law.

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