ARLIS/NA Northern California Chapter
Tell us about yourself in the form below, then please submit your payment separately either online through our website or by check. Please make checks payable to Art Libraries Society of North America-Northern California Chapter. Thank you.

Note: If mailing a check, please print the form before you hit Submit and mail form & check to: Kay Teel, ARLIS-NA/NC Secretary/Treasurer, PO Box 19490, Palo Alto, CA 94309.

Name *
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Title, if applicable
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Library/Institution
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For Students and those not currently affiliated with an institution
What institution do/did you attend?
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Work Address
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Home Address
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Home Phone
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Preferred Address for Email
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In addition to my dues, I would like to include the following gift:
Please write the amount next to the gift type after you print this form, or note it in the text box for the next question.
Total Payment Enclosed
Add any notes about your payment below. If paying online, please go back to the Chapter website to the "Join or Renew Online" section after submitting this form. If paying by check, please print this form before you hit Submit, and mail form & check to: Kay Teel, ARLIS/NA-NC Secretary/Treasurer, PO Box 19490, Palo Alto, CA 94309. Make checks payable to: Art Libraries Society of North America-Northern California Chapter.
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