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Membership/Renewal Form: New Membership Renewal Changes For Directory? Section 1: Member Contact Information

This document is a membership/renewal form for the LLAM organization. It collects contact information for members, including name, address, phone numbers, and email. It also requests information about membership type and payment details, current occupation, whether the member belongs to other organizations, and committees they may be interested in joining. Members can choose to allow photos to be used for communications. The form should be completed and payment made to renew or apply for membership in the LLAM organization.
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0% found this document useful (0 votes)
81 views2 pages

Membership/Renewal Form: New Membership Renewal Changes For Directory? Section 1: Member Contact Information

This document is a membership/renewal form for the LLAM organization. It collects contact information for members, including name, address, phone numbers, and email. It also requests information about membership type and payment details, current occupation, whether the member belongs to other organizations, and committees they may be interested in joining. Members can choose to allow photos to be used for communications. The form should be completed and payment made to renew or apply for membership in the LLAM organization.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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MEMBERSHIP/RENEWAL FORM

All prospective members of LLAM are required to complete this registration form. Indicate any changes;
Membership runs from June 1st-May 31st. NEW MEMBERSHIP RENEWAL
Changes for directory?

SECTION 1: MEMBER CONTACT INFORMATION

TITLE Mr Mrs Miss Ms

NAME

ADDRESS 1 MAIN TELEPHONE


WORK TELEPHONE
ADDRESS 2
(if different)
ADDRESS 3 HOME TELEPHONE

TOWN/CITY MOBILE PHONE

ZIP CODE PRIMARY EMAIL


SECONDARY
JOB TITLE:
EMAIL
*Star the e-mail and phone number you would like listed in the
directory
SECTION 2: MEMBERSHIP TYPE AND PAYMENT DETAILS
MEMBERSHI Pleas
MEMBER TYPE DESCRIPTION P DUES e
(Annual) Check
FULL Full Membership $20.
STUDENT/RETIRED Full time students and Retired Members $10
Associate membership is open to all who share
LLAMs objectives or wish to help advance them but
ASSOCIATE $20
cannot become full members (restricted from voting,
holding office or chairing committees)
Institutional Membership is open to institutions
$20 per
INSTITUTIONAL working in the legal field. Membership allows transfer
member
of membership to replacement personnel.
For Membership descriptions see website
http://llamonline.org/admi/bylaw/
Institutional Check Personal Check Online
PAYMENT METHOD
Payment

SECTION 3: MEMBER INFORMATION

OCCUPATION /JOB TITLE:


Member AALL: Yes No Would you like to receive AALL membership information? :
Yes No
Member other library organization? Check all that apply. SLA MLA Other
Do you subscribe to the LLAM listserv? Y or N If no, would you want to be subscribed?
(provide e-mail address if not listed)
Does your library participate in Interlibrary Loan? Yes No
Please indicate if you would be willing to serve on a chapter committee:
Yes Not at this time

Is there a specific committee you would like to serve on? _________________________


(Committees are listed at http://llamonline.org/officers/committees/ )
Permission to use photographic images:
Photographs of LLAM members may be used in various LLAM communications incl. the
newsletter and website. Group photographs taken at LLAM events may be used without
identifying individual members. For individual photographs, please indicate your permission
for use:
_____ LLAM has my permission to use and identify photographs of me.
_____ LLAM does not have permission to use and identify photographs of me.
_____ LLAM must contact me before using any identified photographs of me in LLAM
communications.

Date:______________________
To pay online: Go to http://llamonline.org/interact/join/
To pay by check: Send a check made payable to LLAM to Patricia Behles, University of Baltimore Law Library, 1401 N.
Charles St., Baltimore, MD 21201, Phone 410-837-4583, Fax 410-837-4656.
Regardless of payment method used, please make sure to send a copy of your membership form to
[email protected]

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