Title Mrs. Miss Ms. Mr. Dr. First Name Last Name
Home Address   Apt #
City State Zip

Home Phone -

School
Mail Code  
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If you are a current undergraduate or graduate student">

Title Mrs. Miss Ms. Mr. Dr. First Name Last Name
Home Address   Apt #
City State Zip

Home Phone -

School
Mail Code  
Position
E-mail @

If you are a current undergraduate or graduate student, please include the name of your college or university:

Please check membership in the following organizations:
Click in the box that reflects your membership.  When you join FRA and IRA, please be sure to include our DRC Local Council Number 11200.
Current FRA member: Yes  Number _______        
Current IRA member: Yes  Number _______

2.  Print form.
3.  Mail form with a $15.00 check made out to Dade Reading Council to:
Linda Askari at PO Box 651487, Miami, FL 33265-1487 or through
school mail to Royal Palm Elementary, Mail Code 4761, Attention Linda Askari.

Gift Membership:  If you would like to give someone a gift membership, please click on the gift below.

For more information email Linda Askari.