S WA L LT

Southwest Association for Language Learning and Technology  

MEMBERSHIP FORM

Kindly share this form with your colleagues and friends. SWALLT welcomes administrators, faculty, and technical support professionals at all educational levels.

Please print out the completed form and mail to SWALLT treasurer.
Name
Position
Department
Institution
Address 
City/State/Zip        
Phone
Fax
E-mail
Special Interest

Please check all applicable:  

Would consider running for SWALLT office  
  Interested in hosting SWALLT meetings  
  Would be willing to serve on Committee
  Newsletter editor
MEMBERSHIP  YEAR        

Membership fee of $15.00 per year are due by March 30th of the membership year.
 

    
Please make checks payable to:  Patricia Miller for SWALLT         TOTAL ENCLOSED     $
Mail check and completed form to:  

SWALLT TREASURER c/o

Patricia Miller - Director, BAWLC                                                       
California State University, Northridge  
18111 Nordhoff Street  
Northridge,  CA 91330--8247

E-Mail: pmiller@csun.edu
Phone Number: 818-677-3452