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MEMBERSHIP APPLICATION |
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WLLA Memberships: o Individual $15.00 o Institutional
$35.00 o Emeritus $0.00 Individual membership benefits include voting privileges,
newsletter, discounted conference registration and an opportunity to compete
for scholarship and grant funds. Institutional members may designate one representative to
exercise the same rights and privileges as an individual member. Upon
professional retirement, a person who has been an active member of the
Association for the proceeding five (5) consecutive
years may request, or be recommended for, emeritus membership status. Emeritus status will carry with it all the
rights and privileges of active membership. Membership begins on the date the Association accepts payment
of the first year's dues. The anniversary date of renewal of membership is
the first day of WLLA's Annual Conference. |
Please select Region: o REGION 1 o REGION 2 o REGION 3 o REGION 4 o REGION 5 o REGION 6 o REGION 7 o REGION 0 |
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Name: |
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Institution: |
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Title/Position: |
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Address: |
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City/State/Zip: |
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Email: |
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Home Phone: |
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Office Phone: |
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FAX: |
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Please return form with dues
to the WLLA Treasurer: Kelly Willmarth 1319 Meadow Dr. Cheyenne, WY 82001 (307) 637-2403 (307) 637-2460 fax Make checks payable to: WLLA WLLA
is a tax exempt 501 C3 organization. |
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