COLAA MEMBERSHIP

Be included in the latest Directory of Members and receive up-dates and newsletters by keeping your dues current. 

HINTS FOR PRINTING OUR APPLICATION: 

• Highlite only the lower portion of this form for printing.
• Click the (File) button and then select (Print....).   
• Chose (Selection) in the (Print Range) to print only the highlited portion. 
• Complete the printed copy of our application. 
• Mail the completed application (and your dues) to COLAA.

  COLAA Membership Application

____ New      ____ Renewal

Annual membership dues are:

__ Individual ($10)      __ Family ($15)     __ Organization ($25)

List contact information to be published in Member Guide Directory:

NAME: _________________________________________

ORGANIZATION: _________________________________

ADDRESS: _____________________________________

                     _____________________________________

EMAIL ADDRESS: _______________________________

                       HOME PHONE:  _______-_______-_______    

                       WORK PHONE:  _______-_______-_______  

                       FAX NUMBER:  _______-_______-_______

                       CELL PHONE:  _______-_______-_______

Please make your check payable to "COLAA" and mail to: 

COLAA     P.O. Box 3636   Pineville, LA 71361-3636

 TOGETHER WE ARE STRONGER