Welcome to the 2016-2017 CLTA Membership Application/Renewal Form!

| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

2016-2017 Membership duration is from September 1, 2016 to August 31, 2017
Contact Information













Email Information
Your personal email address works better, because...
  • your school email server may block our emails to you.
  • when you change schools, districts or employment status, you can still stay in touch with us.
But if you must use your school email address, perhaps you can give us an alternate email just in case.



Language(s) Taught




Membership

Affiliate Membership

Donations
Sylvia Jones Legacy Fund


$
Please only enter digits, no "$" is necessary (10 or 10.00)
Sidney Gorman Endowment Fund


$
Please only enter digits, no "$" is necessary (10 or 10.00)
Memorial Scholarship Fund



$
Please only enter digits, no "$" is necessary (100 or 100.00)
LangAbroD Grant


$
Please only enter digits, no "$" is necessary (10 or 10.00)
Terms and Conditions
Membership in CLTA is open to any world language supporter. Membership is renewable yearly and is from September 1 - August 31 of the following year.  Membership is not transferable. We do not offer organizational rates.    


$
Please only enter digits, no "$" is necessary (45 or 45.00)

Automatic Renewal of Membership
Automatic Renewal of Membership(s) is available only to credit card transactions and only for CLTA & Affiliate Memberships. Authorize.net will charge your credit card once a year on September 1st. Once subscribed, you may cancel at any time by sending a request to membership@clta.net.

Payment by check:

Make checks payable to CLTA.

Please send payment along with a copy of the email that will be automatically sent when you SUBMIT this form) to:

CLTA Membership 

1614 27th Street

Sacramento, CA 95816


To finalize your Membership Application/Renewal, hit the SUBMIT button at the bottom of this form.
Payment Via Purchase Order (PO):


To finalize your Membership Application/Renewal, hit the SUBMIT button at the bottom of this form.
Payment Via Credit Card

To finalize your Membership Application/Renewal, make a note of the TOTAL AMOUNT DUE above.  Then hit the SUBMIT button at the bottom of this form.  You will also receive an email with instructions on how to pay by credit card. If you don't get the email, contact us at membership@clta.net.

California Language Teachers' Association (CLTA) communicates with its members by e-mail. CLTA does not share, sell, or rent member information with any other organization. 
Captcha

Please enter the characters you see in this picture:

Visual CAPTCHA

This helps prevent automated form submissions. If you are not sure what the characters are, make your best guess. You will have another try in the next screen.
Can't see the image? Click here for an audible version in English.

Need assistance with this form?