LitAGE Membership Form
The Literacy Association of Greater Erie (LitAGE) does not require membership dues. Once you become a member, you are granted a lifetime membership and you will not need to complete this form again unless you would like to update your contact or employment information.

LitAGE serves educators who work or live in the Pennsylvania counties of Crawford, Erie, Forest, Mercer, Venango, and Warren.

Benefits of Membership: Being a member gains you access to our Social Hour and Book Club events, as well as in-person conferences. In-person conferences may have an additional registration fee.

Please reach out to LiteracyAGE@gmail.com with any questions. Stay connected, interact with, and visit us on Twitter, Facebook, or our website.

Email *
Last Name *
First Name *
Address (line 1)
[Home address or school address]
 *
Address (line 2)
City *
Zip Code *
County of Residence
[Or county of your school if you are providing a work address]
 *
Which title best matches your role? *
Name of Institution/School/Organization *
Grade Level
[Check whichever boxes best represent the ages or grade level of students you serve or will serve.]
 *
Required
X/Twitter Handle (if you'd like for us to follow you)
How did you first hear about us? *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms