Request edit access
Individual Membership
Email address *
Membership type
Name *
Your answer
Library/Institution
Your answer
Mailing address
Your answer
City
Your answer
Province
Your answer
Postal code
Your answer
Phone
Your answer
Electronic contact consent
In order to comply with anti-spam legislation (CASL), the MLA requires your consent to contact you via email. Please indicate whether or not you would like to receive electronic updates. Such messages may include information about newsletters, upcoming events, and other details relevant to the Manitoba library community
Do you give consent to receive electronic messages from MLA? *
Please select membership payment below *
Division
Donation (Income tax receipts will be issued for donations over $10.00; please specify whether for MLA or the Prison Library Committee)
Your answer
Further information
Membership valid for 12 months from payment processing date. Your information will only be used for the purpose of determining membership. If you have any questions about the collection of this information, contact the Director at Large - Membership at membership@mla.mb.ca

Please submit payment via the PayPal buttons on the MLA site.

Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service