ARLIS/NA Northwest Chapter Membership Form
Information collected from this form will be published in the Chapter Directory on the Northwest Chapter website.
Email addresses provided will be added to the chapter listserv.
Membership covers the full calendar year, January 1 to December 31. New memberships received after October 1 will be applied to the following calendar year.
Last Name *
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First Name *
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Professional Title
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Institution
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Preferred Address *
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Preferred Phone Number *
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Preferred Email Address *
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I am applying for a *
Membership Types
ARLIS/NA membership is required
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Checks/Money orders payable to ARLIS/NA Northwest Chapter can be sent to:

Paula Farrar
Music, Art & Architecture Library
University of British Columbia
1961 East Mall - Suite 414
Vancouver BC, V6T 1Z1
Canada

Please do not send cash in the mail. US and/or Canadian funds accepted.

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