Illinois Classical Conference

The Illinois Classical Conference, Inc.

Application for Membership

School Year: 2010-2011

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Institutional Membership

Institution: ____________________________________

Contact Person: ____________________________________

Mailing Address: ____________________________________

____________________________________

Phone: ____________________________________

Fax: ____________________________________

E-mail Address: ____________________________________

Make checks payable to: ILLINOIS CLASSICAL CONFERENCE

$30.00 annual dues should be sent to:

Elizabeth Skoryi

303 Cedar Lane

Shorewood, IL 60404-9721