2021-22 AFLA membership dues
Please complete this registration form once for each person. Dues are $40 (by check) or $42 (through Paypal or Venmo)
Email *
First name *
Last name *
Mailing address: street/PO box, city, state, Zip *
Preferred phone number *
School / Institution *
School/institution address
Language(s) Taught - select all that apply *
Required
In which type of program do you teach (select all that apply). *
Required
Select your mode of payment, don't forget to submit this form: *
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