WILLA Membership Form

Name: ________________________________________________________
Home Address: ________________________________________________
City: ________________________________________________________
State and Zip Code: __________________________________________
Telephone: ___________________________________________________
Work Address: ________________________________________________
City: ________________________________________________________
State and Zip Code: __________________________________________
Telephone: ___________________________________________________
E-mail Address: ______________________________________________


WILLA Members are needed to help with working groups a projects. Please indicate an area of interest.

___ CROSSCURRENTS Newsletter	___ Pamphlet Projects           	___ Staffing the Exhibit table at NCTE
___ Conference Program Committee	___ State Affiliate Link   	___ Reviewing for the WILLA Journal
___ WILLA Poster Projects	                ___ Summer Working Meeting

Membership Rates
Regular 1-year Membership: $15.00	2-year: $30.00 	5-year: $70.00  	Student: $7.00                               

Please send this form and the membership fee (make checks payable to WILLA) to:

Pamela Hartman
Department of English
Ball State University
Muncie, IN 47306