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THE CHILDREN'S
LITERATURE COUNCIL OF SOUTHERN CALIFORNIA
2008 MEMBERSHIP APPLICATION
Membership
is based on the calendar year, January through December. All dues are
tax-deductible.
Checks should be made payable to: The
Children's Literature Council of Southern California.
To join, please
print out this form, complete, and mail with your check to:
Membership Chair
The Children's Literature Council of Southern California
P.O. Box 573462
Tarzana, California 91357 |
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NAME
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ADDRESS |
| CITY
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STATE
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ZIP |
PHONE |
e-mail
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FAX |
OCCUPATION
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| DESIGNATION
(Check all that apply) |
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Author |
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Bookseller |
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Illustrator |
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Paraprofessional |
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Public
Librarian |
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School
Librarian |
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Teacher |
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Other
- Please specify:
_________________________
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| MEMBERSHIP
STATUS: (Check one) |
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New
Member |
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Renewal |
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Gift |
| MEMBERSHIP
TYPE: (Check one) |
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Individual
($35.00) |
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Institutional
($70.00) |
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Supporting
($125.00) |
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Student
($25.00) |
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Retired
($25.00) |
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| MEMBERSHIP
DIRECTORY? (Check one) |
| |
I
do wish to be included in the Member Directory |
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I
do not wish to be included in the Member Directory |
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