NCRA Membership Form 2014-2015

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Membership form for NCRA 2014-2015

Transcript of NCRA Membership Form 2014-2015

North Central Reading Association #47430 Tennessee Reading Association Membership Application 2014-15

Membership  includes  the  quarterly  edition  of  The Tennessee Reading Association’s  online  journal,  The  Reading  Teacher.

Member Receipt North Central Reading Association 2014-15 Date: ______________________ Received from: _________________________________________ for membership dues, July 1, 2014 to June 30, 2015. Received by: ___________________________________________ Check #: __________ Cash: ___________ Amount: ___________

Visit our website: www.  northcentralreadingassociation.blogspot.com

Member Information:

Name: (last) ______ (first) _____(mi)

Street Address: ____________________

City: State: Zip: Telephone: ( ) - E-mail Address: School: Position/Subject:  

_New Member

_ Renewal

_______ Certified Member

_______ Classified/Student/Community

IRA Member IRA #

 

Certified Member

NCRA $ 10.00 TRA $ 15.00

Total Dues: $ 25.00  

Classified/Student/Community Member

NCRA $ 5.00 TRA $ 15.00

Total Dues: $ 20.00  

Treasurer  Information  

Date:  _____________            Cash:  ______________  

CK  #:_______________  Amount:_____________