Rebecca Caudill Young Readers' Book Award
Registration Form
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Please type or print. Name_______________________________________________

Position_____________________________________________

School Name______________________________________

Street or Box_________________________________________

City_____________________, IL Zip_______________

School District Name and No.____________________________

School Phone Number (____)____________________________

What Illinois library system do you belong to?________________

The fee for each RCYRBA registration packet is $10.00.

Enclosed is $_______________for _______________Packets.

If you are registering more than one school, please include each school name and address.

Please send checks only. No purchase orders accepted. Make checks payable to RCYRBA.

NOTE: Please allow 4-6 weeks for delivery!

Packets ordered June 1st - August 15th will be sent after August 15th.

Print and mail to:
Rebecca Caudill Young Readers' Book Award
P.O. Box 6536
Naperville, Il 60567-6536