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Washington
Organization
for Reading Development
Membership Form
Only use this form if you are sending check as your payment. WORD Membership Director, Nancy Gill at 250 Duncan Road; Kelso, WA 98626.
Date:
Name:
Home Address:
City, State, ZIP:
Place of Employment/School District
Position
Home Phone:
Work phone:
Email:
Alternate Email:
Membership:
Membership rates:
____ Regular Members: $20
____ Associate Members: $10
Make checks payable to WORD.
When your dues have been received, you will be assigned to the
local council nearest your place of employment. If there is no
local council within easy commuting distance, or if you prefer
to be a member-at-large, you will become a member of the At
Large Council.
____I prefer to join a local council, if there is one nearby.
____I prefer to be a member at large
International Reading Association Information:
____ I am an IRA member. My IRA
number is _____________.
____ I am not currently a member of IRA, but please send me
information about IRA.
(WORD and IRA are considered separate entities, and dues must
be paid to each.)