Membership Form

Regular membership includes The REALL News and all of the benefits of membership. A subscription to The REALL News, without membership, is available. Full-time students can join at the discounted rate. A patron membership includes all of the benefits of a regular membership, plus a listing in The REALL News and our eternal gratitude (where "eternal" is defined as "one year").

Name: _________________________________________________________

Address: ______________________________________________________

City, State, ZIP: _____________________________________________

Phone: ________________________________________________________

Interests: ____________________________________________________

		___      Regular Membership ($20/Year)
		___      Student Membership ($15/Year)
		___      Family Membership ($30/Year)
		___      Patron Membership ($50 or more/Year)
		___      Subscription Only ($12/Year)
		___      Trial or Gift Subscription ($3 for 3 issues)

Bring to a meeting or mail to:  REALL
				P.O. Box 20302
				Springfield, IL 62708

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