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AHMEDABAD LIBRARY NETWORK (ADINET)

Road Opp. Old IIM Campus,


Opp. Gujarat University Guest House,
Navrangpura, Ahmedabad 380 009.
Phone No : 079-26305630, 26300368, E-mail : alibnet@gmail.com
URL: www.alibnet.org
(LIFE MEMBERSHIP FORM)
Please get this form typed or fill it up in CAPITAL LETTERS.

I_______________________________________________________________
wish to become a Life Member of ADINET. Enclosed herewith is a DD/Cheque
No: _____________ Dated: ___________in favour of ADINET. Ahmedabad for
Rs.2000/- only towards the Life Membership fees ________________________
Address : _______________________________________________________
Phone:(O):____________ (R): _____________ (M): ___________________
Address (Res) : __________________________________________________
Email Address: ___________________________
Please dispatch ADINET Newsletter, etc. to my Residence / Office address.
e-CUCOLIS (Contents pages of journals) will be sent to you by e-mail.
Date: _____________

Signature: ________________

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