Application for Student Membership in IRA, ORA, and your local council - $35
Application for all of the above plus the ORA State Conference - $55

Note: To qualify for this rate, you must be a full-time student. Once you join, you may renew at the student rate for two more years even if you become a certified teacher or are not a full-time student anymore. YOU MUST HAVE AN OREGON ADDRESS TO QUALIFY FOR THIS SPECIAL OFFER.

Fill out the application below.Then print and send it with a check for either $35 or $55 made out to ORA. Send everything to:

Dennis Hickey
  (Your cancelled check or credit card statement is your receipt)
ORA Student Membership    
PO Box 12   (Note: Set your printer to print only page 1)
Maupin, OR 97037    
Check Date: Amount: $
Credit Card Date: Amount: $ Visa
MasterCard Discover American Express Card #:
Expiration Date: Signature:

Date (12/15/03):
First Name: Last Name:
Address:
City: State: OR Zip Code :
Phone (with area code):
Email Address:
Local Council (leave blank if not sure):
Name of Institution:
Please check:
New Member (must have faculty signature)
I certify that this applicant is a full-time student: ____________________________________________

Renewal - Please list IRA#
Membership only ($35) Membership with Conference Registration Fee ($55)

Check the IRA Journal subscription desired (please check only one):
The Reading Teacher (Pre-K & Elementary)
Journal of Adolescent & Adult Literacy
Lectura y vida (in Spanish)

For official use only:

Local Council #_________________
Local Council:________________________