Member Non-Member
Membership fees ....... Student fees
$20
Program #1 Oct. 21 .......
$10
Program #2 Jan. 11
Program #3 March 3
Total:
Name:
Address:
City:
State
Zip code
Phone:
E-mail:
The SLRC is affiliated with WSRA and the International Reading Association.
WSRA member
Membership # ___________________
IRA member
Membership # ____________________
Maggie Fosdick 35003 67th St. Burlington, WI 53105