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ARLIS/NA Midstates Chapter Membership Form 2017
Membership covers January 1, 2017 - December 31, 2017. Membership dues must be paid by April 1, 2017. Annual dues are $20.00 ($10.00 for students) and may be paid online via PayPal or by sending a check to the address on the Membership webpage. If you do not wish to be added to the chapter’s listserv or directory, please indicate below.
Membership Status
Name
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Position
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Institution
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Work Address
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City
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State
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Zip Code
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Work Phone Number
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E-mail Address
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Home Address (optional)
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Home Phone Number (optional)
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Send mail to:
Add my e-mail to the listserv
Add my e-mail to the online Member Directory (http://midstates.arlisna.org/memberdirectory.html)
Type of Membership
Member of ARLIS/NA
(All members of ARLIS/NA Midstates must also be members of ARLIS/NA; for more information about becoming a member of ARLIS/NA, see www.arlisna.org/membership/join-arlisna.)
Donation to General Chapter Fund (optional)
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Donation to Bunce Travel Award Fund (optional)
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Would you be able to host a chapter meeting sometime in the future?
Suggestions for professional development at meetings:
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