ARLIS/NA Northwest Chapter
2008 Registration Form

Membership fees for year 2008 are due now. Please complete the form below, and send to the listed address with a check or money order made out to ARLIS/NA NW (in U.S. Funds or Canadian funds). All e-mail addresses given will be added to the Chapter list serve.

ARLIS/NA Northwest Chapter

Membership Type (check 1)

716 West 15th Avenue

Institutional

(U.S $20/Canada $20)  

Vancouver, BC

Personal

(U.S. $20/Canada $20)

Canada  V5Z 1R5

Preferred

(U.S. $5/ Canada $5)

Membership Types

Institutional  

Includes one designated Personal Membership. Fill out both listing sections. The Contact Name in the Institutional Directory listing may or may not be the designated Personal Member (your choice).

Personal

Personal members may choose to fill out the Institutional Directory Listing as well. These will also be listed in the Directory.

Preferred

Personal membership available at reduced rate for Students, Unemployed and Retired Members. Do not fill out Institutional Directory Listing.

ARLIS/NA Membership

Please indicate below whether you are currently a member of ARLIS/NA. Only ARLIS/NA members are eligible for Chapter membership. If you are not an ARLIS/NA member you will be listed as a “Chapter affiliate”, rather than as a Member. Affiliates are not eligible to vote, or hold office, but enjoy all other privileges, and are welcome at all Chapter functions. Please circle the statement below to indicate your status:

I am/am not a current ARLIS/NA member

Institutional Directory Listing

Institution Name  
Address  
   
   
Phone (      )
E-mail  
Contact Name  
Position  
Web Page (url)  

Membership Directory Listing
Includes persons designated by Institutional Members. Indicate whether listing information is for home (h) or work (w)

Name  
Address (h) or (w)  
   
   
Phone (h) or (w) (      )
E-mail (h) or (w)