ARLIS/NA Midstates Chapter Membership Form
Memberships cover the calendar year, from January 1st to December 31st. Payment is due by January 1st. The deadline for new memberships is April 1st. Annual dues are $20.00 for Regular members (ARLIS/NA members), $15.00 for Friends of the Chapter (non-members of ARLIS/NA, non-voting members), and $10.00 for all student members. Payment options are available with completion of the membership form.

Please also consider making a donation to the ARLIS/NA Midstates General Fund or to the William C. Bunce Travel Award!

Today's Date: *
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Name *
Your answer
Title or Student Status *
Students, please indicate degree sought, i.e. Student, MLIS.
Your answer
Institution *
Your answer
Preferred address *
Your answer
Is this address your home or your work address? *
Preferred phone number
Your answer
Preferred email address *
This email address will be added to the ARLIS Midstates listserv.
Your answer
Do you want all your information listed in the ARLIS/NA Midstates Member Directory? *
Check as many as are appropriate.
Required
Membership Type *
Would you like to make a donation to the Mistates Chapter?
You may make donations to the Midstates General Fund or to the William C. Bunce Travel Award.
Please indicate the amount you would like to donate.
Your answer
Thank you for completing the ARLIS/NA Midstates Membership Form!
Click submit to send this form and complete your payment. Your membership will not be complete until we have received your payment.
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