2024 WNYFLEC Membership Form

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*You must be a member to attend the Regional Conference in March

Email *

Membership runs on the calendar year: January - December

Name *

Home E-Mail *

School E-Mail (An email address must be provided, and kept current, to ensure delivery of electronic newsletter) *

Address *

City, State *

Zip Code *

Home Phone *

Language(s) Taught (check all that apply) *

Spanish

French

Italian

German

Latin

Other:

Required

School District *

Is any of the above information new? *

Yes

Membership Options

New

Renewal

College Student ($12.00)

Regular Member ($25.00)

Retired Member ($12.00)

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Lifetime Membership - Yay!

Already a Lifetime Member ($0.00, just updating my information)

I would like to become a Lifetime Member! ($205.00)

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Please consider making a donation to WNYFLEC to help support one or more of the following scholarship funds:

Anthony Papalia (tuition assistance)

Teacher Incentive Grant (project-based funding)

Humanitarian Award (to fund philanthropy efforts)

General Scholarship (divided equally among awards)

How much would you like to donate? (If not making a donation today, please leave blank)

Enter Total Amount due here. (Member fee + any donations, if applicable) *

$12.00 (Student or Retired Member)

$25.00 (Regular Member)

$205 (Lifetime Membership)

Other:

How are you paying? *

Mailing a check, payable to WNYFLEC to: Amanda Boos, 168 Knowlton Avenue, Buffalo, NY 14217

Venmo - please send your payment to @WNYFLEC

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

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