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 *
Your answer
Last Name *
Your answer
Preferred email(s) *
Your answer
Institution
Library System or Employer
Your answer
Information Center Name
Library or Department, or Position
Your answer
Institution Address
Your answer
Work Phone
(optional) nnn-nnn-nnnn
Your answer
Home Phone
(optional) nnn-nnn-nnnn
Your answer
Cell Phone
(optional) nnn-nnn-nnnn
Your answer
Alternate Mailing Address
(optional) e.g., Street address, City, State, Zip
Your answer
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?
School
If currently a student, what school/program?
Your answer
Comments
Your answer
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