Please print out and submit, or send equivalent information by any convenient means
Revised December 2003
Name: |
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Mailing Address: |
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Academic or other Affiliation: |
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Office Telephone: |
Office Fax: |
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E-mail Address: |
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Home or other Address:Include in Directory? Yes [ ]; No [ ]. |
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Home Telephone:Include in Directory? Yes [ ]; No [ ]. |
Enclosed:
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Annual Dues: (Payable by CALENDAR Year) [You may pay up to three years ($30) in advance]
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$10.00
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[ ] Please send ALA Cooper Papers ($15) and/or
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$
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[ ] Please include a free set of the Reference Papers
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No charge |
TOTAL |
$ |
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