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Student's Name_______________________________________

Address ___________________________________________________

City/State/Zip________________________________________________

E-Mail Address______________________________________________

All Information is Kept in Strict Confidence!

**Remember to send $.55 stamp with list** 
Has your child participated before?________
Parent Initial__________

Mail list with $.55 stamp to:

Reading Club 2000!
c/o Renee Ruby
702 N Isabella Street
Sylvester, Ga. 31791

Reading Club 2000!
Attach Extra Pages as Needed

Title of Book

Author

# of Pages

Total Pages

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

       

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