NCRA Membership Form 15-16
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North Central Reading Association #47430 Tennessee Literacy Association Membership Application 2015-16 Membership includes the quarterly edition of The Tennessee Literacy Association’s online journal, The Literacy Teacher. N orth C entral R eading A ssociation 2015-2016 ______________________________________________ NCRA Member Name www. northcentralreadingassociation.blogspot.com -North Central Reading Association Member Information: Name: (last) ______ (first) _____ (mi) Street Address: ____________________ City: State: Zip: Telephone: ( ) - E-mail Address: ______________ Please print clearly School: Position/Subject: _New Member _ Renewal _______ Certified Member _______ Classified/Student/Community ILA Member ILA # Certified Member NCRA $ 10.00 TLA $ 15.00 Total Dues: $ 25.00 Classified/Student/Community Member NCRA $ 5.00 TLA $ 15.00 Total Dues: $ 20.00 Treasurer Information Date: _____________ Cash: ______________ CK #:_______________ Amount:_____________ Member Receipt Date ___________________ By_____________________ Check # ________________ Cash $ _________________ Membership 7/01/15-6/30/16
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NCRA Membership Form 15-16
Transcript of NCRA Membership Form 15-16
North Central Reading Association #47430 Tennessee Literacy Association Membership Application 2015-16
Membership includes the quarterly edition of The Tennessee Literacy Association’s online journal, The Literacy Teacher.
North Central Reading Association 2015-2016
______________________________________________ NCRA Member Name
www. northcentralreadingassociation.blogspot.com
-North Central Reading Association
Member Information:
Name: (last) ______ (first) _____(mi)
Street Address: ____________________
City: State: Zip: Telephone: ( ) - E-mail Address: ______________ Please print clearly School: Position/Subject:
_New Member
_ Renewal
_______ Certified Member
_______ Classified/Student/Community
ILA Member ILA #
Certified Member
NCRA $ 10.00 TLA $ 15.00
Total Dues: $ 25.00
Classified/Student/Community Member
NCRA $ 5.00 TLA $ 15.00
Total Dues: $ 20.00
Treasurer Information
Date: _____________ Cash: ______________
CK #:_______________ Amount:_____________
Member Receipt Date ___________________
By_____________________
Check # ________________
Cash $ _________________
Membership 7/01/15-6/30/16
