Yes, I would like to become a member of the Center for Children's Literature Friends Group!

Please mail to:

CENTER FOR CHILDREN'S LITERATURE
John Warren Stewig, Director
Carthage College
2001 Alford Park Drive
Kenosha, WI 53140

or via e-mail to: jstewig@carthage.edu

Name (s)

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Address

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City

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State/Zip

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Phone
( ) ______ - _____________

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Email

Enclosed is my/our gift of $

Please include me/us at the level checked below:

[ ] Student $l0

[ ] Contributor $35-$99

[ ] Donor $l00-249

[ ] Sponsor $250-499

[ ] Patron $500-999

[ ] Bestseller $l000-4999

[ ] Publisher $5000-special category which includes naming opportunity


[ ] Enclosed is the matching gift from my/our employer(s)

All contributions are tax deductible.

[ ] I wish to use my MasterCard/Visa.

Account #

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Expiration date

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Signature

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Please make checks payable to the Carthage College-Center for Children's Literature Friends Group.

Thank you for your support!