Membership
New Member ____ Membership Renewal____
Name (Dr., Mr., Ms.)_______________________________________________________________
Title/Discipline ___________________________________________________________________
Institution ______________________________________________________________________
Institution Address _______________________________________________________________
City/State/ZIP+4 _________________________________________________________________
Work Phone _(___)________________Alternate Phone _(___)____________________
E-Mail ________________________________________________________________
FAX _(___)_____________________
Make check payable to Texas College Reading and Learning Association [EIN # 94-3468149] in the amount of $10 for state membership only. Mail the above information and check to the membership chair at the following address:
Kathy Stein, TxCRLA Membership
Sul Ross State University
Box C-132 400 N. Harrison St.
Alpine, TX 79832
