MEMBERSHIP/RENEWAL FORM

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All prospective members of are required to complete this registration form. Indicate any changes; Membership runs from

June 1st-May 31st. directory?

NEW MEMBERSHIP

RENEWAL

Changes for

SECTION 1: MEMBER CONTACT INFORMATION

TITLE NAME ADDRESS 1 ADDRESS 2 ADDRESS 3 TOWN/CITY ZIP CODE
MAIN TELEPHONE WORK TELEPHONE (if different) HOME TELEPHONE MOBILE PHONE PRIMARY EMAIL SECONDARY EMAIL

Mr

Mrs

Miss

Ms

SECTION 2: MEMBERSHIP TYPE AND PAYMENT DETAILS

MEMBER TYPE FULL STUDENT/RETIRED ASSOCIATE INSTITUTIONAL DESCRIPTION Full Membership Full time students and Retired Members Associate membership is open to all who share objectives or wish to help advance them but cannot become full members (restricted from voting, holding office or chairing committees) Institutional Membership is open to institutions working in the legal field. Membership allows transfer of membership to replacement personnel. For Membership descriptions see website PAYMENT METHOD Institutional Check Payment Personal Check Online MEMBERSHI P DUES
(Annual)

Pleas e Check

$20. $10 $20 $20 per member

SECTION 3: MEMBER INFORMATION

OCCUPATION /JOB TITLE:

Member :

Yes

No

Would you like to receive AALL membership information? :

SLA MLA Other

Yes

No

Member other library organization? Check all that apply.

Do you subscribe to the listserv? Y address if not listed)

or N

If no, would you want to be subscribed? (provide e-mail Yes No

Does your library participate in Interlibrary Loan?

Please indicate if you would be willing to serve on a chapter committee: Yes Not at this time Is there a specific committee you would like to serve on? _________________________

Permission to use photographic images: Photographs of members may be used in various communications incl. the newsletter and website. Group photographs taken at events may be used without identifying individual members. For individual photographs, please indicate your permission for use: _____ has my permission to use and identify photographs of me. _____ does not have permission to use and identify photographs of me. _____ must contact me before using any identified photographs of me in communications.

Date:______________________