Would you like to join IDLA? It's easy - just fill out this web form and submit it. We'll bill you for your membership.

You can join now and be a member of Iowa's premier distance learning organization. As a member of IDLA you'll have the opportunity to network with other distance learning professionals, attend the annual conference, receive the quarterly newsletter and submit or read articles posted on the web site. You will also receive a monthly email with links to exciting new information in distance education.

Name:
Title:
    
Institution:
Address:
Apt / Suite:
   
City:
State:
Zip:
Day Phone:
Fax:
    
E-mail: 
What are your particular interests and career responsibilities:
 
Is this membership (Check One): A New Membership A Renewal
Would you like (Check One):
  IDLA Student Membership only $17.50 (Proof of student status must be submitted)
  Individual Membership $35.00/year
  Institutional Membership 2-5 people $150.00/year
  Institutional Membership 6-10 people $200.00/year
  Institutional Membership 11-15 or more people $250.00/year
        ($25.00 per person per year for additional individuals above 15)
If Institutional Membership, list names and titles of the appropriate number of additional people in your organization. Include addresses if different than above.
 
Method of Payment (Check One): Please Bill Me Purchase Order     PO#:
Occasionally we are asked to supply membership lists to other organizations. Please indicate your preference:
  YES, you may release my name
  NO, I don't want my name released

 

As an alternative, you may print out and complete this form and then mail to:

Iowa Distance Learning Association
Rosemary Hildreth
2006 S. Ankeny Boulevard
Building 5, Room 27
Ankeny IA 50023
 
     
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