IALLT Membership Application/Renewal Invoice

Status (check one):
__ Renewal Membership/Subscription
__ New Member/Subscription

Check other professional organizations to which you belong:
ACTFL _____ CALICO _____ LLA _____ TESOL _____

Check if you need IALLT Regional Group Membership Information: _____

Occasionally organizations or companies whose business is of interest to IALLT members, request IALLT mailing labels. If you do not want your name on these lists, please check here. _____

Check appropriate category and enter charges:

___	Educational Member (voting) 1 year = $50.00 2 year = $90.00		__________
___	Commerical Member (non-voting) 1 year = $75.00 2 year = $140.00		__________
___	Full-time Student (voting)* 1 year = $25.00		__________
___	Library Subscription (non-voting) 1 Journal Volume = $60.00		__________
___	Add journal postage if outside N. America $20.00 (1 year subscription) $40.00 (2 year subscription)		__________
	TOTAL		__________

*Requires signature of an IALLT Educational Member: _____________________________________

Remit check payable in U.S. funds to IALLT. Payment must accompany all orders.
IALLT Federal ID Number: 39-2014508

Mail invoice and check to:

Susan Breeyear
IALLT Membership Coordinator
Language Resource Center
University of Vermont
Burlington, Vermont 05405
Phone: (802) 656-7856
Email: membership@iallt.org