Eastern New York ACRL Chapter » ENY/ACRL Member Registration Form

ENY/ACRL Member Registration Form

ENY/ACRL Membership Fees:

Please fill out this form entirely. After you click submit, you will be re-directed to a page with information on how to pay your dues.

First Name *

Last Name *

Email *

Membership Type: *

Would you like to be subscribed to the ENY/ACRL Forum discussion list?

Would you like to learn more about serving on an ENY/ACRL Committee or the Board?

Title

Institution

Address *

City *

State *

Zip *

How are you paying for your membership? *

If you're using PayPal, please specify the email address linked to your PayPal account:

Phone

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