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:
Position:
Library:
Institution:
Office Address:
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Country:
Office Telephone:
FAX:
* E-Mail:
Home Address:
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Country:
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ASDAL Action is now available in electronic format only.

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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 July 1 to June 30 and membership dues are due in July.

Last Revised October 4, 2011