FVRC

Fox Valley Reading Council


Membership Form

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

WSRA Website - Local Councils