ASDAL Personal Membership Form

Association of Seventh-day Adventist Librarians

PERSONAL MEMBERSHIP FORM

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Title:	Mr. Mrs. Miss Ms. Dr. Other:
* Name:
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Library:
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* E-Mail:
Home Address:
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Preferred format for receiving ASDAL Action: Electronic Paper at home Paper at work

My name may be released for SDA mailing lists: Yes No


Dues Schedule: (Includes subscription to ASDAL Action)	Regular Membership	$20.00 US
	Student Membership	$10.00 US
	Retiree Membership	$10.00 US

Your membership details will be e-mailed to you when you click on the "Continue to Payment Instructions" button. Your membership will be activated when payment is received.		TOTAL: $
		I want to pay by credit card. I want to pay by check.

ASDAL's membership year is Sept. 1 to Aug. 31 and membership dues are due in September.

Last Revised October 10, 2008