1. If you have questions, please contact D.C. Representative: Sharon.pajka-west@gallaudet.edu
ALAN Membership
Membership in ALAN is open to anyone interested in literature for adolescents. Members of ALAN
need not be members of NCTE.
ENROLLMENT FORM
Please enroll me as a member of the Assembly on Literature for Adolescents of the National Council
of Teachers of English (ALAN). I understand that individual membership includes voting rights and a
subscription to The ALAN Review, published each fall, winter, and spring. Institutional membership
includes a subscription to The ALAN Review but no voting rights.
PLEASE SELECT TYPE AND STATUS:
Type: Status:
 Individual ($20/year*) New membership
 Institutional ($30/year*) Renewal
 Student ($10.00/year*) No Multi-year
*International postage - add $4 per year, U.S. funds.
NEW
NEW Individuals/Institutions may choose multi-year membership (up to 3 years) at the
$20.00/$30.00 per year price.
I wish to join for ________ years; total $ ___________
Name___________________________________________________________
Institution ________________________________________________________
HM/WK (circle one) Address:_________________________________________
________________________________________________________________
City ______________________________State_________________________
Zip_____________________________
Email___________________________________________________________
Phone __________________________ (In the event of a problem, failure to provide contact information
may delay the renewal or initiation of your membership and ALAN
Review subscription)
 Remittance enclosed. (Pre-payment required.)
Make checks payable to ALAN
Mail to:
ALAN Membership
P. O Box 234
Campbell, OH 44405-0234
 Check enclosed Address for credit card, if different than above:
 Charge my MasterCard ____________________________________
 Charge my VISA ____________________________________
Account No.______________________________ (security code – 3 digits on back) _______
Expiration Date______ / ______ $_______________ (amount to be charged)
__________________________________
(Your signature)