Membership Form

Membership dues are based on the number of students you serve each year. Please review our Membership Requirements and Benefits document.  Our processing fees are added to memberships submitted online.  To avoid the processing fees, download our membership form here and send a check in to:

Wisconsin Literacy, Inc.
211 S. Patterson St., Suite 260
Madison, WI 53703

*REQUIRED
*REQUIRED
Each year, my literacy agency serves:
Member Information
*REQUIRED
*REQUIRED
2-3 sentence human interest story on your work to promote awareness on social media and our website

*REQUIRED
*REQUIRED
Visa MasterCard American Express Discover
*REQUIRED
/
*REQUIRED
? Visa®, Mastercard®, and Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.