Membership Registration Form (2013)

A secure, on-line credit-card registration form (for full-membership only) is available at An invoice-entry page to pay by purchase order or check is located at

Membership in the Kentucky Council of Teachers of English/Language Arts, Inc includes subscriptions to the Kentucky English Bulletin and the KCTE/LA News and the opportunity to enter your students in the annual, state-wide essay contest. KCTE/LA also sponsors an annual conference each spring for its members. If you would like to renew your membership or to become a new member, please print and complete this form and mail with your check or school purchase order to the KCTE/LA Membership Chair

Liz Jensen
508 Magnolia Street
Bowling Green, KY 42103-1612
(Make your check payable to KCTE/LA. A $25 fee is imposed on any returned check.)

Please check one of the following:

____ $30 – One-year regular membership.

____ $60 – Two-year regular membership.

____ $10 – One-year undergraduate student membership (send photocopy of undergraduate-student ID).

Record your check number or Purchase Order number here: _________________________.

Is this a renewal ____ or an initial membership ____ (check one).

Please type or print legibly:

Name ______________________________________________________________________________________

Home/Street Address _______________________________________________________________________

City _____________________________________________ State ________ Zip _____________________

Evening Phone Number ( _____ ) _____ — __________

E-mail Address ____________________________________________________________________________

Level ____ elementary ____ middle ____ secondary ____ college (select one)

School ____________________________________________________________________________________

District __________________________________________________________________________________

Are you also a member of the NCTE? ____ yes ____ no

Membership year runs from 1 January through 31 December 2014.
Membership paid between 31 May 2013 and 31 December 2013 goes into effect at the time the membership is paid and continues through 31 December 2014.
Membership rates are subject to change 1 January 2014.

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