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Name: |
_____________________________________________________ |
Mailing Address: |
_____________________________________________________ |
Phone: |
_____________________________________________________ |
E-Mail (to receive newsletters ): |
_____________________________________________________ |
District: |
_____________________________________________________ |
Membeship Type: |
____ New Membership ____Renewal |
Other Memberships: |
Member WSRA # __________ Member IRA # __________ |
Include a check payable to: WRRC for $7.00 |
Please print this form, fill it out, and mail the form with your check to: |
Judy Kucksdorf, Membership
Wolf River Reading Council
PO Box 65
Leopolis, WI 54948