Membership Form

Membership Year - 2012

Use this form to register your membership in IOLUG. After filling in the form, you can print it out and mail a copy with your check or you may pre-register by clicking on the Submit button, which sends the information to the Membership Officer. If you submit the form online, membership is not finalized until payment is received. Membership runs from October to September. There are no partial year memberships. If you have any questions about membership, please contact the Membership Officer.

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Membership Cost: Regular members $20 Students (one year only) $10 For Membership Year October 1, to September 30, Membership Type: New Renewal Student Note - Membership is not finalized until payment is received. * Required field.

Name*:
Institution:
E-mail Address*:

The following is my work/ home address:

Street*:
Street 2:
City*:
State*:
Zip*:

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Additional Information: Position Title:
Type of Library (select one): Academic Public School Special Other (i.e. not a library)

Office Phone:
Fax Number:

Institution or Personal Web Address:

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IOLUG Committees: Would you like to serve on a committee or be otherwise active in IOLUG? Yes No
If so, which committee(s)/activities interest you? Secretary Treasurer Membership Program Newsletter Nominating Board-Member-at-Large Auditor Any

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IOLUG Listserv Subscribe me to the IOLUG listserv (uncheck if you don't wish to receive postings to the IOLUG listserv).

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Receipt needed:

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*Note*If you are paying for another person's registration and/or membership, please use the 'Special Instructions' link on the 2nd page of the PayPal payment process to note the name of that person.

Student Membership - $10.00