SIS Member Information Form
Use this form to submit or change your Suncoast Information Specialists contact information. This form can also be accessed from the SIS website, http://www.suninfospec.org. Information added to this form will be electronically submitted to SIS.

NOTE: Actual membership in SIS does not take effect unless dues have been received. See our website for details on how to pay dues (online by credit/debit/PayPal, check by mail, check/cash at meeting).
First Name *
Last Name *
Preferred email(s) *
Institution
Library System or Employer
Information Center Name
Library or Department, or Position
Institution Address
Work Phone
(optional) nnn-nnn-nnnn
Home Phone
(optional) nnn-nnn-nnnn
Cell Phone
(optional) nnn-nnn-nnnn
Alternate Mailing Address
(optional) e.g., Street address, City, State, Zip
How Paid *
If you are paying dues, how was payment handled? Actual membership in SIS does not take effect unless dues have been received.
Student
Are you currently enrolled in school?
Clear selection
School
If currently a student, what school/program?
Comments
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