Name________________________________________ Phone _______________
___ I wish to become a member of The James Jones Literary Society and have enclosed the annual dues payment of $15.
___1-Year Membership, Couple - $25.
___4-Year Individual - $50.
___Life Individual - $250.
___ I support the activities of The Society and would like to make a contribution. Enclosed is a check for $_________.
Make checks payable to The James Jones Literary Society and mail to The James Jones Literary Society, P.O. Box 68, Robinson, IL 62454. Contributions are tax-deductible. This form may be duplicated for additional memberships and/or gifts.