An Affiliate of the International Reading Association

Membership Application

Single Memberships: $20.00 (includes all 3 presentations)

School Memberships: $20.00 (Permits ONE staff member to attend each presentation)

Name: ____________________________________ Payment: ______________

Name: ____________________________________ Payment: ______________

Name: ____________________________________ Payment: ______________

Name: ____________________________________ Payment: ______________

Name: ____________________________________ Payment: ______________

OR School Membership

School Name: ___________________________________ Payment: ___________

SCRC Representatives: Please print out this form, fill in and send, along with payment (cheques made payable to Simcoe County Reading Council), to:

Sue Ste Croix @ Ferndale Woods E.S. 705-733-5636

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