poetry notice

 
the law requires you to have this poem
in addition to your registration certificate
in your personal possession at all times
to surrender it upon request

the law requires you to notify your local poet
in writing within 10 days after it occurs
your change of address
your physical condition
your occupation including student
marital status
family
dependency
military status
any other change in your classification

any person who alters
forges
knowingly destroys
mutilates
or in any manner
changes this poem
for purposes other than it's intent
may be fined
imprisoned
or both

previous poems are obsolete
approval not required
form 110 (rev. 5-25-1967)