Membership Application (PDF format)
If you have trouble downloading the PDF membership application, you may print out this page and use it to apply for membership.
Our Membership / Subscription year begins January 1. All memberships are for a calendar year from January 1 to December 31. We strongly encourage members to renew during the Fall months for the upcoming year. Please send your dues to
_____ Over $35 Friend
We are especially grateful to those who choose membership in special categories; It is difficult to meet our publication and mailing expenses on income from standard memberships only.
Donation to Special HSA Initiatives
HSA Education Fund (indicate amount donated): $_______________
Please make checks payable to Haiku Society of America. Please write Postal Money Orders to Haiku Society of America, c/o Paul Miller, Treasurer.
Canadian and Overseas Members: Personal checks in U S funds are acceptable if your bank has an affiliate in the U S. If not, please use a Canadian or International Postal Money Order in U.S. funds and write it to Haiku Society of America, c/o Paul Miller, Treasurer.
_____ I would like my mailing address included in the HSA Newsletter and annual Directory.
_____ I would like my E-mail address included in the HSA Newsletter and annual Directory.
_____ I don’t want my mailing or E-mail address included in the HSA Newsletter and annual Directory.
If left unchecked, your mailing and E-mail addresses will be included in the HSA Newsletter and annual Directory.
_____ Yes, I’d be willing to volunteer for the HSA. We rely on volunteers for numerous jobs. If you have expertise in publicity, education, teaching, publications, database management, website design, or in any other field that might benefit the organization, please indicate your areas of expertise below.