College Language Association Membership Information

Please print out this form and mail to the address below, or choose the "buy now" buttons to pay directly through the Internet.

Retiree Membership $45.00

Tax Deductible Contribution to the Hugh M. Gloster Endowed Scholarship Fund:

MEMBER INFORMATION
Preferred Professional Title: Dr. Prof. Mrs. Mr. Ms. None

Name: ___________________________________________ Email: _______________________________

Mailing Address: ______________________________________________________________________________

____________________________________________________________________________________________

Telephone: Work: ___________________________________ Home: ___________________________________

PAYMENT INFORMATION

Please make checks/money orders payable to CLA.

If paying by credit card American Express, Discover, Mastercard or Visa please complete the following:

Amount: $ ______________ Exp. Date /

Card #:

Signature: ________________________________________________________

All payments should be sent to the CLA Treasurer, P.O.Box 38515 Tallahassee, FL 32315. Email: yakini.kemp@famu.edu. Telephone: 850-599-3737.

MEMBERSHIP TYPE	FEE	NOTES
Regular	$80.00	Includes all member benefits
Student	$55.00	For four consecutive years in same level: BA, MA, or Ph.D. No voting
Life	$500.00	Must be paid in full or in four equal installments of $125.00
Institutional	$200.00	Receives one journal and one waiver of convention registration fees
Retiree	$45.00	Receives all mailings but receives journal only upon request