Principal and Associate Membership Form:

Principals:  Programs, agencies, or sites providing direct services for people with literacy challenges.

Associates: Organizations interested in literacy that are not programs or networks, or individuals who work for associate organizations.

Please select your membership level below:

Associated Membership Fee:

Principal Membership: Programs, agencies, or sites providing direct services for people with literacy challenges.

Please attach the following:
1) Program literature or description
2) Documentation of status for ProLiteracy Accreditation, LANO’s Standards of Excellence, or federal and/or state adult education certification.

 $25

Associate Membership: Organizations that are interested in literacy or individuals who work for associate organizations

Please attach program literature or description.

 $25

Memberships are from January 1st to December 31st of each calendar year.
 Please make checks payable to the Greater Baton Rouge Literacy Coalition.

Personal Information - Please Tell Us About You:
Organization:
Mailing Address:
City: State: Zip:
Phone:
Fax:
Website:
Representative Name:
Title:
Email: