ࡱ> .0-[@ sbjbj44 (ViVis2222222F Fz   $0 Rd 2   224  22  22  # 4 J 0z   FF22222 8v0T D  FF$j$ FFjMEMBERSHIP INFORMATION Individual Membership $60.00 USD Includes Yearbook and voting rights. Joint Membership (Spouses) $110.00 USD Includes one Yearbook and voting rights for two. Graduate Student Membership $30.00 USD Includes Yearbook and voting rights. Please include proof of status as a graduate student or have application endorsed by faculty member. MEMBERSHIP APPLICATION Please print clearly. Name: ______________________________________________________________________ Institution: ______________________________________________________________________ Address: ______________________________________________________________________ City, State, Zip ______________________________________________________________________ Phone: Office (___) _______________________ Home (___)_____________________ FAX: ___________________________ E-Mail: ___________________________ Type of Membership: ___ Individual [$60.00] ___ Joint (Spouses) [$110.00] ___ Student [$30.00] All prices quoted are in US currency. Faculty Endorsement of Student Membership Application: I verify that this applicant is a full-time student. _______________________________________________________________________ Faculty Member's Signature, Name of Institution, Date Annual membership in the American Reading Forum begins in December of the year in which your application is received. All memberships include the Yearbook which is distributed the following December. Mail this application with your check made payable to the American Reading Forum, to: AMERICAN READING FORUM c/o Brenda S. Townsend 4 Farmhouse Road Newark, DE 19711 rshyhS`am n C D = > ^`gdSgdSs   6N`rsgdS&1h:pS/ =!"#$%@@@ NormalCJ_HaJmH sH tH DA@D Default Paragraph FontRi@R  Table Normal4 l4a (k@(No Lists`amnCD=>6N`ru000x0x0x000000000 000000 0000 00 0 0 00000 00 00 00000 u>;0s s s ȦVV?ɦVT?ʦVT@˦V B̦VQͦV$ΦVDϦV<^BNN``hku^^fjppu>*urn:schemas-microsoft-com:office:smarttags PostalCode9*urn:schemas-microsoft-com:office:smarttagsState8*urn:schemas-microsoft-com:office:smarttagsCity:*urn:schemas-microsoft-com:office:smarttagsStreet;*urn:schemas-microsoft-com:office:smarttagsaddressB*urn:schemas-microsoft-com:office:smarttagscountry-region9*urn:schemas-microsoft-com:office:smarttagsplace u^%'69ru333%&;;55MM__rruufd1#4\klm!ySt<@rr|ܐrrs@@UnknownGz Times New Roman5Symbol3& z Arial"hLCPC} } !24pp3H)?!MEMBERSHIP INFORMATION fd1fd1Oh+'0p  , 8 DPX`hMEMBERSHIP INFORMATION EMBfd1d1d1NormalHfd111Microsoft Word 10.0@ @"@q#}՜.+,0 hp  Appalachian State UniversityI p{ MEMBERSHIP INFORMATION Title  !"#$&'()*+,/Root Entry F#1Data  1TableWordDocument(SummaryInformation(DocumentSummaryInformation8%CompObjj  FMicrosoft Word Document MSWordDocWord.Document.89q