Membership is $50 per month per club. 1-year membership is $520 and includes an audiotape of the Christmas* poemART (which is a song) recorded by jai. Very collectible. (*Members may choose a recording of a different poemART if they prefer.)

• Pennsylvania residents add 7% sales tax.
• If member address is outside the U.S., please contact jai with the name your country so she can determine additional mailing costs.
• To enroll, send your check with a copy of this enrollment form to jai, The Poem-of-the-Month Club™, 842 N. Euclid Ave., Pittsburgh PA 15206. Please make check payable to janet jai.

Name of poetry-art lover to be enrolled (please print):

Club (check 1):   Gardens &   Music &   Spiritual &   Children's  

Member's address including street, city, state, and zip code (or country):

How many membership months?  
(Can be any number from 1 to 12. 12-month members save $80 and receive a free audiotape.)

When do you want first poemART to arrive? (check one):
Christmas         Chanukah         Birthday (date):  
Anniversary (date):       Other (date):  

If this is a gift, what would you like gift card to say?

Member's birthday (for birthday poem): If child, what age

If you want to place an order for more than one occasion,
please fill in occasions and any other details here.

Your name (if different from the above, again please print):

Your address:

Your E-mail address:

Your telephone number (so that you can be called if something above is not clear):

Questions? e-mail jai