Northeast Wisconsin Reading Council

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Northeast Wisconsin Reading Council Membership

 
  
Name:
 _____________________________________________________
Mailing Address:
 _____________________________________________________
Phone:
 _____________________________________________________
E-Mail (to receive newsletters ):
 _____________________________________________________
Your Position
_____________________________________________________
School District:
 _____________________________________________________
Membership Type:

____ New  Membership

____Renewal
Other Memberships:

Member WSRA # __________ 

Member IRA # __________  

   

Include a check for $2.00 payable to:

Northeast Wisconsin Reading Council

Please print, fill out, and send this form to:

Lorraine Gerhart
910 FJ Street
Crivitz, WI 54114