Greater Hartford Literacy Council

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Greater Hartford
Literacy Council
One Union Place
Hartford, CT 06103
 
(860) 522- 7323
or
(860) 522- READ

 
Individual Membership Form

Click here to download a printable version of this form.

Thank you for your interest in the Literacy Council. We applaud your willingness to advocate for literacy issues and services by joining our organization. Your membership will become effective when you complete this form and return it with a check for dues in the amount of $25 made payable to: Greater Hartford Literacy Council. The duration of membership is twelve months and is renewable.

To help support Literacy Council projects such as our Books at Home Initiative, we welcome your contribution in addition to the membership amount. (A contribution of $36 will provide a child with a new book each month for a year.)

Today's Date: September 7, 2008
Name:
Address:
City:
State:
Zip:
Phone:
Fax:
E-mail:
By providing your e-mail address, you will receive our monthly e-newsletter, periodic advocacy alerts, and other updates.
Please note: If you represent an organization, but are electing to join as an individual member instead of joining as an organizational member, there are certain benefits that will not apply to you, including participation in our book distributions (only organization members are eligible to receive books).
Your support is appreciated!!

Please send checks to:
Greater Hartford Literacy Council
One Union Place
Hartford, CT 06103

Your membership form will be processed when dues are received.