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Name: |
_____________________________________________________ |
Mailing Address: |
_____________________________________________________ |
Phone: |
_____________________________________________________ |
E-Mail (to receive newsletters ): |
_____________________________________________________ |
School: |
_____________________________________________________ |
Membeship Type: |
____ New Membership $10.00 ____Renewal $10.00 |
Other Memberships: |
Member WSRA # __________ Member IRA # __________ |
Include a check for $10.00 payable to: Eau Claire Area Reading Council |
Please print, fill out and send this form to: |
Jamie Labs
1621 9th Street
Menonmonie, WI 54751