Membership Application

ALACTE Membership Application

Membership dues are separate from Summer Conference registration fees. Membership is for one year.
PLEASE NOTE: ACTA Bylaws require that administrators join ALACTE/ACTA through the Council for Leaders in Alabama Schools (CLAS).
Membership registration is NOT complete until payment is made.

* Indicates required field

Name *

First

Last

Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number *

Membership Type *

New Renewal

ALACTE Membership Number - If you don't have your number, just leave this blank and our staff with retrieve it and add to the application for you later. *

ALACTE Program Area (State Division Fees to be added to $100 State Fee) *

School System *

School Name *

School Phone *

School FAX *

School Email *

Home Email *

Last Four Digits of Card Used for Payment - DO NOT enter your entire card number at this time. Payment will be made through Square on the next screen. This helps us match payments to registrations. Thank you for making our system work smoothly. *

Proceed to Payment