2000 Rhode Island Adult Literacy Council Membership Dues

(September 2000 August 2001)

Check Type of Membership:

_____New or _____ Renewal

_____New or _____Renewal

Member Name_______________________________________________________________________________

Organization Affiliation ________________________________________________________________________

Mailing Address _____________________________________________________________________________

___________________________________________________________________________________________
(
Street) (City) (State) (Zipcode)

Phone ____________________ Fax ____________________ Email ____________________


OR

___New or ____Renewal

Organizational Name__________________________________________________________________________

Mailing Address ______________________________________________________________________________

(Street) _____________________________________________________________________________________
(City) (State) (Zipcode)

Phone ____________________ Fax ____________________ Home Page ____________________


Organizational Members Names (list up to 4)

1._________________________________________________________________________________________
Name Email

2._________________________________________________________________________________________
Name Email

3._________________________________________________________________________________________
Name Email

4. _________________________________________________________________________________________
Name Email

 

Make checks payable to: RI ALC

Mail To: Literacy Volunteers of America RI
260 West Exchange, Suite 201/2
Providence, RI 02903

*All members of an Organizational membership will be sent mail at the organizational address. Please identify one member as the mailing contact here.______________________. Otherwise, the first member listed will get the mailing for all the members of an organizational membership.


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