Membership Form
Membership year is July 1 through June 30

Complete this form ONLY / AFTER you have paid using PayPal

Select the appropriate membership category
Select membership status
Contact Information
Last Name
Your answer
First Name
Your answer
Title
Your answer
Library
Your answer
Institution
Your answer
Street Address
Your answer
City
Your answer
State
Zip
Your answer
Work Phone
Your answer
email
Your answer
Indicate which committees you would like to serve on
I am interested in hosting an event (meeting or program) at my institution
I am interested in running for a board position
President, Secretary, Treasurer, Member at Large
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms