2017-2018 GPLLA Member Registration
Please complete the fields below . The information entered here will be how you appear in the GPLLA member directory. Information about submitting payment will appear below and after you submit this form.

Please submit ONE FORM PER MEMBER. If you are submitting on behalf of multiple members, you only need to complete the library / institution information once.

Membership Type
First Name
Your answer
Middle Name / Initial
Your answer
Last Name
Your answer
In what year did you first become a member of GPLLA?
Your answer
Library / Institution Name
Your answer
Job Title
Your answer
Work Phone
Your answer
Work email
Your answer
Library / Institution Information:
If you are submitting on behalf of multiple members from the same organization, the information below only needs to be filled out once.
Address 1
Your answer
Address 2
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Fax
Your answer
Website URL
Your answer
Hours of Operation (If Known)
Your answer
Visitor Access Policy (If Known)
Your answer
Interlibrary Loan Policy (If known)
Your answer
OCLC Symbol (If Known)
Your answer
Payment Information
GPLLA accepts payment via check or PayPal.

To pay via PayPal, use the information at http://gplla.org/w/2017/05/26/start-or-renew-your-gplla-membership-now/

If paying by Check, make Payable to: GPLLA

Checks must be mailed to:

GPLLA
Attn: Membership
P.O. Box 335
Philadelphia, PA 19105

For any questions about membership, please contact Lilah Knox at lilahmknox@gmail.com

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