The Children's Literature Council
of Southern California
2008 Spring Workshop REGISTRATION FORM

Please print this page, fill in the information, make check payable to
"The Children's Literature Council" and mail by Friday, April 4, 2008 to:
Susan Dubin, CLC Spring Workshop, 18901 Marilla Street, Northridge, CA  91324    Questions regarding registration - Call Susan Dubin (828) 606-0793


NAME_______________________________________________________________________________

ADDRESS ___________________________________________________________________________

CITY _____________________________
STATE ___________ ZIP ___________________

PHONE ___________________________
e-mail _________________________________

NEW MEMBER? __________________
OCCUPATION ___________________________


AFFILIATION:  ___________________________________________________________

Current CLC Member ($45.00) 		#_______ Amount _______

Non-CLC Member Workshop Registration ($50.00) 		#_______ Amount _______
SAVE! New CLC Individual Membership plus Workshop Registration at Member Rate ($75.00) #_______ Amount _______
TOTAL AMOUNT
DUE:		 _______________

 
For additional information: Pamela Greene (323) 651-3513