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MEMBERSHIP 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 For questions regarding this website please contact Gary Moorman. Updated December 2006. This site is maintained by Appalachian State University, Reich College of Education.
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