Art Libraries Society of North America
Mountain West Chapter
2008 Membership Application Form

 

 Name
Title
Organization/Department
Institution
Address
City, State, Zip Code
Business Phone
Fax
E-mail

Mail should be sent to: __ Home  __ Business

Home Address
City, State, Zip Code
Home Phone

 

Membership Dues
Travel Award Fund


All Categories $15.00 per year (January-December)

___ Individual Member (must also be a member of ARLIS/NA)
___ Individual Affiliate (non-voting)
___ Institutional
___ Business Affiliate
___ Student Member (must also be a member of ARLIS/NA)
___ Student Affiliate (non-voting)
___ Retired


To help fund the Winberta Yao Travel Award, please add donation of:

___ $10.00
___ $15.00
___ $20.00
___ $25.00
___ other amount
  Total submitted: ______________________________

 

To join or renew membership, print out this form and send it with a check payable to ARLIS/NA-MW to:

Jennifer Parker, Assistant Professor
Art and Architecture Librarian
University of Colorado, Boulder
Norlin Library, 184 UCB
1720 Pleasant Street
Boulder, CO 80309-0184