Maine Literacy Council 2016-2017 Membership Application
To become an MLC member please fill out this form and then mail your check or cash ($20) to:
Maine Literacy Council 29 Brookfield Estates, Turner ME 04270
Email address *
Last Name *
Your answer
First Name *
Your answer
Street Address
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Your answer
Zip Code
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Phone (specify H=home/W=work/C=cell before #)
Your answer
School District (if affiliated) or Publisher
Your answer
Position *
Email *
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Twitter Handle
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Membership Level *
Membership Status *
Please send payment made out to Maine Literacy Council to 29 Brookfield Estates, Turner ME 04270 *
Check # and Date Sent
Your answer
Are you an ILA (International Literacy Association) Member? *
Would you like to be more involved in MLC?
What would you be interested in participating in this year with MLC?
What ideas do you have for promoting literacy learning that MLC could support?
Your answer
A copy of your responses will be emailed to the address you provided.
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