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Membership Complete the following form, print, and mail with check payable to the Montana State Reading Council to: Carole Monlux, 3738 West Central, Missoula, MT 59804 monlux@montana.com MSRC Membership: $15.00 Student Membership: $5.00
New Member Renewal (Check only if you were a member in the past year.)
First Name	Last Name
Address
City	State	Zip
Home Phone	Work Phone	Fax #
E-Mail Address	Profession	Grade Level
Are you a member of a local council? Yes	If yes, list your local council
Are you a member of IRA? Yes	If yes, list your IRA #
Are you a full-time student? Yes	If yes, list your College/University