Membership Application

Comments
This field is for validation purposes and should be left unchanged.
Primary Member Information
Name*
First Last
Title*
Consortium/Organization*
If listed as Other, please specify below.
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Memberships*
List each member in a separate line. Click the plus button on the right to add a new row. Include the person registering as well if membership renewal is needed.
First Name Last Name Email Address
Total Number of Members Quantity*
Price: $40.00
Total
$0.00
Payment
You will be directed to the confirmation that includes the online payment portal. If you select an invoice, you will receive this separately via email from [email protected].
Payment Method*
- Pay online
- Invoice

2026 LAN Members

Are you a current member of Literacy Action Network? Click the button below to see.

2026 LAN Members

First Name	Last Name	Email Address