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Indiana State Literacy Association
Membership Form
Please Print or Type
Name ______________________________________________________________________
School / Business ____________________________________________________________
Home Address ______________________________________________________________
City __________________________________ State __________
Home and/or Work/ Phone ____________________________________________________
Home and/or Work E-Mail ____________________________________________________
Make check payable to Indiana State Literacy Association (ISLA) in the amount of $25.00.
A confirmation email will be sent to you after receiving your membership dues.
Send check and form to:
8526 Stand Ridge Run
Fort Wayne, IN 46825
260-341-5481 Cell
260-497-0364 Home
You may also join on-line at www.indianareads.org for $25.00.
Julianne Houser
Membership
260-341-5481 Cell