DALINC membership renewal form 2017-18
Library name
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Institution name if different from library name
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Address
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Second line of address
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City
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State
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Zipcode
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Library website url
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Representative name
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Representative email
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Representative landline work phone
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Representative cell phone
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Alternate representative name
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Alternate representative email
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Alternate representative landline work phone
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Alternate representative cell phone
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