Application for New Members

Online Application for New Members

Your Name: *

Your Email: *

Address Line 1: *

Address Line 2:

City *

Province / State *

Country *

Postal Code / ZIP *

Home Phone Number Area Code

Home Phone Number

Work Phone Number Area Code

Work Phone Number

Fax Number

Occupation *

Employer *

Main Expertise *

University/College Attended *

Degree Obtained *

Year Degree Obained *

Membership Level (See Membership Page for Requirements) *
Regular
Associate
Student
Library / International Member

Student Number and Institution (if applicable)

Would you like to be added to the listserv?
Yes, I'd like to stay in touch!
No, thanks.

Would you prefer an electronic copy of the newsletter?
Yes, let's save paper and money!
No, I would prefer a hard copy.

I plan to pay with: *
Cheque
Money Order
Paypal Online

Date *

Electronic Signature (Please type your name) *

Additional Comments

I would like to help.....
Newsletter - write an article
Newsletter - guest editor
Newsletter/Website - gather advertising
Issues - will serve on issues committees
Conference - will help plan/run conference
Executive - will stand for a position on the National or Chapter Executive