FVRC |
Fox Valley Reading Council |
Council #55125
Please print out this form, complete, and mail it to the address below with the membership fee.
Name:____________________________________________________________
Address: _________________________________________________________
City, Zip: ________________________________________________________
Home Phone: ______________________________________________________
Home email: _______________________________________________________
School: ___________________________________________________________
District: ___________________________________________________________
Position: ___________________________________________________________
Work Phone: _______________________________________________________
School e-mail: ______________________________________________________
IMPORTANT INFORMATION
Please check if you are a member:
Are you a member of WSRA? __________ WSRA Number ____________ Exp. Date ________
Are you a member of IRA? ____________ IRA Number _______________ Exp. Date ________
Are you a new member of IRA within the past 6 months?
YES __________ NO ___________
| Regular Membership: $15.00 | Student Membership $5.00 |
| Faculty member's signature (*Required for student membership.)
________________________________________________ |
___________ Please accept my enclosed FVRC Friend donation to support literacy in our community.
___________ I do not wish to become a member, but would like to promote literacy through the enclosed donation.
Send this form and check made out to FVRC to:
FVRC
c/o SALLY JOEL, TREASURER
1267 JACKSON STREET
OSHKOSH, WI 54901
OR
interschool mail to Webster Stanley Elementary
| What is Fox Valley Reading Council? |
Calendar of Events |
| Find out why you should become a member of FVRC |
2007-2008 Officers |
| Membership form | FVRC Homepage |
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