2024 CRLA PA/NJ Chapter Membership & Conference Registration
CRLA PA/NJ membership includes membership through December 31, 2024, the monthly CRLA PA/NJ newsletter, and the ability to participate in the Spring Conference and Fall Cluster Meeting.

MEMBERSHIP COST: $12.67 ($12 Membership + $.67 PayPal fee)

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Email *
First Name *
Last Name *
College/University *
Are you staff/faculty, or a student? *
Mailing Address (Department, Street, City, State, Zip Code) *
Work Phone (with area code)
Cell Phone
State Where Your Institution Is Located *
I would like to become more involved with the regional chapter.
Membership Fee and Payment Method
The membership only fee is $12.67 ($12 Membership + $.67 PayPal fee).

Payment method: Credit card payments via PayPal will be accepted. Please use the PayPal link that will appear on the confirmation page of this registration form.

Questions?
For payment questions, please email Brian Cuzzolina at bcuzzolina@haverford.edu.

For membership questions, please email your state's membership coordinator:

Ted McCulloch, NJ Membership Coordinator: edward.mcculloch@shu.edu
Teri Floyd-Brumm, PA Membership Coordinator: tfloydbrumm@racc.edu

A copy of your responses will be emailed to the address you provided.
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