Central Wisconsin Reading Council

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Central Wisconsin Reading Council Membership

 
  
Name:
 _____________________________________________________
Mailing Address:
 _____________________________________________________
Home Phone/Work Phone:
 _____________________________________________________
E-Mail (to receive newsletters ):
 _____________________________________________________
Place of Employment
_____________________________________________________
Position
 _____________________________________________________

Membership Type:
Teacher/Parent $12.00 - 1 yr.
$24.00 - 2 yrs.
$36.00 - 3 yrs.
Student $5.00 per year

____ New  Membership

____Renewal
Other Memberships:

Member WSRA # __________  Exp. date ______________

Member IRA # __________ Exp. date ____________  

   

Please print, fill out and send this form along with your check payable to CWRC to:
Karoleen Glenzer
591 Canterbury Dr.
Plover, WI 54467