North Georgia Associated Libraries

Membership Application

Membership Year July 2008—June 2009

 

AMOUNT DUE:  $35.00

Institution:_________________________________

 

Address:__________________________________

 

City:______________________________________

 

State:________    Zip:_______________________

 

Phone:___________________________________

 

Fax:_____________________________________

 

___ Check here if this information has changed in the last year.

 

Director/Contact Person____________________

 

Email:___________________________________

 

Other staff members who wish to receive meeting notices by email:

 

Name: ____________________________________

 

Email: ____________________________________

 

Name: ____________________________________

 

Email: ____________________________________

 

Name: ____________________________________

 

Email: ____________________________________

 

Copyright 2008 NGAL