2008 Membership Application Form

    
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Application Type (New Member or Renewal)    Please Select ......  *

First Name :  *    MI   Last Name :  *
Primary Address for ARLIS/NA Directory (Skip if you do not wish to be listed - Directory Accessible to members only)

     Please check if your Primary address is the same as your Mailing address.
Title :
Library :
Department :
Organization :
Address 1:
Address 2:
City : State/Prov : Zip/Pc:
Country :
Email : Phone : Fax :
Web Site :
Mailing Address (if different from above)
Title :
Library :
Department :
Organization :
Address 1 :
Address 2 :
City : State/Prov : Zip/Pc :
Country :
Email : Phone : Fax :
Web Site :
YES!  I would like to be included in the ARLIS/NA Mailing list.  (This list is rented to organizations offering products or services of interest to members)
Membership Categories - Please mark ONE of the following membership categories:

Individuals: Includes free membership in Divisions, Sections and Round Tables (DSRTs), Art Documentation, the Handbook and Directory of Members and access to the Members-Only section of the ARLIS/NA website.

Membership - Individuals   
* Students please provide University of Enrollment:
** Honorary conferred by ARLIS/NA; includes Basic Individual membership benefits.

Subtotal Individual Membership US$ 

Membership - Institutional and Business Affiliates
Includes a subscription to Art Documentation, the Handbook and Directory of Members and access to the Members-Only section of the ARLIS/NA website. 

Institutional members are not-for profit library, educational, cultural, or research institutions within Continental North America only.

Business Affiliate members are For-profit associations located globally and Institutions located outside North America
Institutional/Business Affiliate: 

Subtotal Institutional / Business Affiliate Membership: US$ 

Overseas Includes Art Documentation and Member Handbook only - Limited to Non-North American Recipients
      
        Overseas $65

Subtotal Overseas Membership: US$ 

Overseas  Special Handling
 Overseas Air Mail Fees $17

Subtotal of Postage: US$

PLEASE NOTE: Memberships are maintained on a calendar-year basis. New members will receive all periodical issues for the year in which they join the Society, however, memberships received after October 1 will be entered for the following year. All business is conducted in English.  For more detailed information about membership categories and benefits refer to the ARLIS/NA by-laws: www.arlisna.org/organization/admindocs/bylaws.html.

Join the Society Circle
     The Society Circle serves as the fundraising organization in ARLIS/NA.  In appreciation for your generosity, you will receive a Society Circle ribbon at the annual conference; recognition in both the annual Handbook and Directory of Members and on the ARLIS/NA Website; and will be invited to the Society Circle reception at the conference. Members of the Founder's Circle will be acknowledged the conference Convocation.

     To join the Society Circle we invite your annual gift at the following levels:
Founder's Circle Gifts of $1,000 and above
President's Circle Gifts of $500 - $999
Patron Circle Gifts of $200 - $499 Amount of your Society Circle Gift $
Member of the Circle Gifts of $100 - $199
Please apply it to:
Please note my contribution in honor/memory of:
Any level of contribution is welcome. Please select how you would like your donation to be used.
Conference Speakers Fund Internship Fund Travel Grant Fund Unrestricted Gift to the Society
other $  other $  other $  other $ 

ARLIS/NA is registered as a 501 (c) (3) corporation.  Contributions to the Art Libraries Society of North America are tax deductible in the United States to the full extent allowed by the law.

Subtotal of Donations: US$

 PAYMENT [Provide all Information in this section to avoid processing delays]
Check if you require Receipt: *    Total Amount Authorized to Charge to Credit Card $US *
Credit card: * Card Number: *  Exp Date: *
Name on Credit Card: *
Divisions, Round Tables and Sections - Members are entitled to join Divisions, Round Tables, and Sections free of charge.  Please mark your interests:
Divisions:

Round Tables:

 Sections:
Academic Library
Art & Design School Library
Museum Library
Visual Resources		 Book Arts
Woman & Art
New Art
Serials
Management Issues		 Gay & Lesbian Interests
Public Libraries
Space Planners
Decorative Arts		 Architecture
Cataloging
Reference & Information Services
Chapters:  Please indicate which chapter you are a member of (if any).  If you are not a member and wish to join, please mark the "Please contact me" field below.  (Chapter dues are additional and vary by Chapter)
Chapter Selection......      Please contact me about the chapter specified.

Society Service: ARLIS/NA welcomes all members to volunteer and serve on one of the many committees and groups, or in a leadership position.  These committees provide a core service within the society and new member involvement is a vital piece of our growth as an association.
 
  YES!  I would like to serve on one of the ARLIS/NA Committees.  
Specify if possible:

Please indicate the affiliated Professional Associations to which you belong:   

AAM   AASL SAH
MCN CAA   IFLA
ALA   SAA   SLA VRA
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November 22, 2006