HASLMS Membership Form 2019-20
You will receive an email confirmation after submitting this form. If submitting dues by check, print out the emailed form & send with check or money order to Sally Ehlke, Monroe MS, Rt. 1.
Name (First & Last)
Work Phone (plus extension)
School Mail Route
Home Address (street, city & zip please)
Home Phone (or Cell)
I would like to be active in HASLMS this year by participating in the following:
Professional Development Activities for Monthly HASLMS Meetings
HASLMS Banquet (Donations, Door Prizes, Sponsorships)
HASLMS Book Drive (Service Project)
Fundraiser Activities for HASLMS
I will help where you need me
I have an idea for a new committee/activity.
Membership Dues: $30.00 & New Media Specialists: $25.00 (Paypal will add $1.25 for processing fees if paid online.)
I will be submitting my dues via:
Check or Money Order (school mail)
PayPal (online from
A copy of your responses will be emailed to the address you provided.
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