ALA-APA Library Worklife
   

Name:

 

Type of Organization:
public
county
state library agency
armed forces
community college
college (four-year schools, includes military academies)
university (graduate school)
library school
special (includes law, medical, art, historical, industrial, and museum libraries)
U.S. Federal government
hospital and nursing school
institutions
library association/club
bibliographic service center
elementary school
middle and junior high school
senior high school
combined schools
school district

other commercial firms
publishers
book sellers
library equipment, supplies, services
foreign governments
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self-employed
not currently employed
moving; organizational address to come
no insitution given
retired
other
Prefix
First
Middle
Last
Suffix
   
Title:
   

Place of Employment:

 
Name
Address
 
City
State
Zip
Country

 
Work Phone
Home Phone
FAX
Toll free #
Email

 
Home Address:  
Address
 
City
State
Zip
Country
   
Person placing this order:
Telephone
E-mail:
   
Payment information:  
$15 for students
$35 for ALA members.
Membership number:
$60 for non-ALA members.
$100 for non-ALA organizational members
   
send invoice  
bill:  
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cardholder's name
account #
expiration
 
 

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Mail the form to ALA Member and Customer Service at 50 East Huron, Chicago, IL 60611 (credit card or check)

For assistance, please contact the ALA Customer Service Center at 1-800-545-2433, press 5.