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:

Joan Hughes
TACTL Secretary/Treasurer
The University of Texas at Austin
Department of Curriculum & Instruction
1 University Station
Austin, TX 78712-0379
UTMailCode: D5700
joanh@mail.utexas.edu