2008 Fall Gala Registration Form
The Children's Literature Council of Southern California
 P.O. Box 573462 Tarzana, California 91357 www.childrensliteraturecouncil.org

2008 FALL GALA - REGISTRATION by Mail - FORM
Saturday, October 18, 2006   9.00 a.m.- 1:00 p.m.
Registration: 8:30 a.m. - 9:00 a.m.
Bowers Museum
2002 North Main Street
Santa Ana, CA 92706

Please print out this page, complete, make check payable to
"Children's Literature Council" and mail by October 5, 2008 to

CLC Fall Gala Registration
c/o Maxine Lucas
Children's Literature Council
P.O. Box 573462
Tarzana, CA 91357



NAME

ADDRESS

CITY
STATE
ZIP

PHONE
e-mail

FAX
OCCUPATION
NUMBER OF REGISTRATIONS:
CLC Members   $50.00
#
$
Non CLC Members ($60.00)
#
$
Membership plus Registration ($85.00)
New______ Renewal ______
#
$
Names of Registrants:
TOTAL AMOUNT DUE:
$

For further information, please call Cindy Corderman - (562) 430-1048