TACTL Membership Application

Name: Title:

Affiliation:

Address:

Email:

Telephone:

Fax:

AERA member? ___Yes ___No

Membership Level? ___Full member, one year: $10.00 ___Full member, two years: $20.00 ___Student member, one year: $5.00 ___Student member, two years: $10.00

Please print form and send check or money order in U. S. funds to:

Christine Greenhow, Ed.D.
TACTL Secretary/Treasurer
Learning Technologies
Department of Curriculum and Instruction
College of Education and Human Development
University of Minnesota
130A Peik Hall
159 Pillsbury Drive SE
Minneapolis, MN 55455
greenhow@umn.edu