Registration: Texas Association of School Library Administrators

TASLA 2010 Membership & Workshop Registration Form

Please complete and print this form, and send it with your payment to:

Jeanne Martinez

4111 Springview
San Antonio, TX 78222

Name:

Title:
District/Employer:
Work Street:
Work City:
Work Zip:
Home Street:
Home City:
Home Zip:
Work Telephone:
Work Fax:
Home Telephone:
EMail:
Please mark the appropriate choice(s) below and indicate the total amount of your payment. Paying membership dues and conference registration requires a payment of $50.00 for regular members and $35.00 for associate members.
Regular Membership – $25.00 New Membership – $25.00 Associate (Retired) Membership – $10.00
Conference Workshop Fees – $25.00