New England Music Library Association - Membership Form

 

Name:________________________________ (Check one) _____New Member _____Renewal

Position:______________________________ Institution:_______________________________

Preferred mailing address: _________________________________________________________

                                       _________________________________________________________

This address is:             _____Home _____Work

Work phone:___________________________ Fax:_________________________________

E-mail address:______________________________________

Dues: _____Regular: $12.00                          _____Three year option for Regular Members: $36.00

         _____Student/Retired: $6.00                 _____Institutional: $16.00

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Please indicate your interest in participating in chapter activities:

Running for an office:

_____Vice-Chair/Chair-Elect       _____Secretary/Treasurer          _____Member-at-Large

Serving as a member of a committee or attending roundtable meetings:

_____Education & Outreach Committee     _____Membership Committee      _____Nominating Committee

 _____Program Committee    _____Publications Committee

_____Bibliographic Instruction/Reference Roundtable           _____Technical Services Roundtable

Do you have any suggestions for sessions at future chapter meetings?

 

Would you like to present a session at a future chapter meeting?

 

Would you like to host a future chapter meeting?

 

News of Chapter members - please tell us about any publications, professional activities, new buildings, or other items of interest:

 

 

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Please send completed form and check in US funds, payable to NEMLA, to:

Brooke Lippy
Assistant Head
Allen Library
University of Hartford
West Hartford, CT 06117