Membership Application (Print out Form) Name_________________________________________ Home Address_______________________________________ City_______________________State____ZIP_________ Country___________ Home Phone (______)____________ School Phone (______)_____________ Email Address___________________________________________ School Name______________________________Position_________________ Grade______ Subject___________ School Address______________________________________ City________________________State______ZIP___________ Country____________ Where (name of person, place, website) did you hear about Learnball?____________________________________________ _____________________________________________________ Membership (with Learnball Classroom Guide and foam ball) $25.00____________ Learnball: Origins and Rationale (teacher’s; reference) $20.00____________ Total _____________ SHIP TO HOME _________SCHOOL_________ Mail to: Learnball League International |
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