WSLA MEMBERSHIP FORM
2019-2020
First & Last Name *
Your answer
Full Mailing Address (include city and zip) *
Your answer
Home Phone *
Please include area code
Your answer
Cell Phone *
Please include area code
Your answer
Personal Email *
Your answer
Work Email *
Your answer
Preferred Communication Method *
Are you an ILA Member? *
Professional Position (NA if not applicable) *
Your answer
School Name (NA if not applicable) *
Your answer
District (NA if not applicable) *
Your answer
Why are you choosing to join WSLA? *
(Check all that apply)
Required
What are some ways you currently work to promote literacy in your community that you would be willing to share with others? *
Your answer
How will you be paying? *
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