NCRA Membership Form 2014-2015
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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:_____________
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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:_____________
