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SLA Membership Application

The document is a membership application for the Special Libraries Association (SLA). It requests contact information from applicants and allows them to select their membership type (Full, Organizational, Student). Applicants also select the chapter and division they wish to join, and can choose additional units. Payment options and total dues owed are calculated based on the selections.

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Kamal Mudiraj
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0% found this document useful (0 votes)
88 views2 pages

SLA Membership Application

The document is a membership application for the Special Libraries Association (SLA). It requests contact information from applicants and allows them to select their membership type (Full, Organizational, Student). Applicants also select the chapter and division they wish to join, and can choose additional units. Payment options and total dues owed are calculated based on the selections.

Uploaded by

Kamal Mudiraj
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

SLA APPLICATION FOR MEMBERSHIP

CONTACT INFORMATION (Please Print)

________________________________________________________________________________________________
First Name Initial Last Name
________________________________________________________________________________________________
Title Department Organization
________________________________________________________________________________________________
Business Address: Number and Street Suite City
________________________________________________________________________________________________
State/Province Zip Country
________________________________________________________________________________________________
Preferred E-mail Address Business Phone/Extension Business Fax
________________________________________________________________________________________________
Home Address: Number and Street Apartment/Unit City
________________________________________________________________________________________________
State/Province Zip Country
________________________________________________________________________________________________
Second E-mail Address Home Phone Cell Phone
________________________________________________________________________________________________
Referred by (optional) *Chapter Selected (see reverse) *Division Selected (see reverse)
Preferred mailing address: □ Business □ Home
MEMBERSHIP OPTIONS
□ Full Member
SALARY/INCOME LEVEL CURRENCY/DUES AMOUNT (Circle one):
○ ≥ US $75,000 US $200 € 160 £ 110 CAN $230 AUS $260 Rs 9,600
○US $35,000 - $74,999 US $185 € 148 £ 102 CAN $213 AUS $241 Rs 8,880
○US $18,001 - $34,999 US $114 € 92 £ 63 CAN $132 AUS $149 Rs 5,470
○< US $18,000 US $ 40 € 32 £ 22 CAN $46 AUS $52 Rs 1,900

□ Organizational Member US $750 €600 £ 413 CAN $863 AUS$975 Rs 32,625


Organizational Member status shall be granted to a firm, organization or individual desiring to support the objectives and programs of the association.

□ Student Member US $40 € 32 £ 22 CAN $46 AUS $52 Rs 1,900


Applicant must be enrolled in a curriculum of library or information science at least part time (two or more courses). Student membership may be maintained only while
actively a student, but for no more than three years.

UNIT OPTIONS
Membership includes one chapter and one division.* Additional unit selections can be added (see dues below). See reverse or www.sla.org for a list of available units.

Additional Chapter(s) and/or Division(s) Dues: US $20 € 16 £ 11 CAN $23 AUS $26 Rs 960
Caucus Dues US $12 €10 £ 7 CAN $14 AUS $16 Rs 580

List Additional Unit Selections: ____________ , ____________ , ____________ , ____________ , ____________ , ____________ , ____________

PAYMENT OPTIONS
Currency Type (circle one): $ € £ CAN AUS Rs PAYMENT METHOD
Dues (from Membership Options): __________ □ Check Enclosed (check#: ____________ )
1st Chapter Selection 0.00 □ Credit Card Payment: □ Amex □ Diner’s Club □ MasterCard □ Visa
1st Division Selection 0.00
Additional Units (from reverse): __________ ________________________________________ ____________________________________
Card Number Expiration Date (Month/Year)
TOTAL DUE _______ ________________________________________ ____________________________________
Name on Credit Card Signature

All memberships (except Organizational Membership) are non-transferable and non-refundable. Membership is for one year. Dues are subject to change. A portion of the annual
dues is allocated for a subscription to Information Outlook. No dues are used for lobbying purposes. Additional preferences can be set upon joining via online profile. I certify that all
information provided herein is complete and accurate.
________________________________________________________ ___________________________
Applicant Signature Date

MAIL TO: Special Libraries Association, PO Box 75338, Baltimore MD 21275 USA
www.sla.org • Phone: +1.703.647.4900 • Fax +1.703.647.4901 • E-mail: membership@sla.org
Rev: 06.2015
SLA APPLICATION FOR MEMBERSHIP

UNIT OPTIONS
Membership includes one chapter and one division at no additional charge. Additional units can be added at the following annual dues rates:
Additional Chapter(s) and/or Division(s) Dues: US $20 € 16 £ 11 CAN $23 AUS $26 Rs 960
Caucus Dues US $12 €10 £ 7 CAN $14 AUS $16 Rs 580

CHAPTER CODES DBF Business & Finance


CAL Alabama • SAM Advertising and Marketing
CAG Arabian Gulf • SCIC Corporate Information Centers
CAZ Arizona • SCUBL College and University Business Libraries
CAS Asia • SFIS Financial Services
CANZ Australia and New Zealand DCHE Chemistry
CCNO Central Ohio • SMRM Material Research & Manufacturing
CCIN Cincinnati DCI Competitive Intelligence
CCLE Cleveland DEDU Education
CECN Eastern Canada/de l’Est du Canada DENG Engineering
CEUR Europe • SENA Aerospace
CFFC Fairfield County • SABCD Architecture, Building Engineering, Construction & Design
CFL Florida and Caribbean DERM Environment & Resource Mgmt
CGA Georgia
• SERF Forestry & Forest Products
CHIP Hawaiian-Pacific DFAN Food, Agriculture & Nutrition
CHDV Hudson Valley
DGI Government Information
CIL Illinois DITE Information Technology
CIN Indiana
• SITB Blogging
CIO Iowa
CHOA Kansas/Western Missouri • SCOM Communications
CKY Kentucky • SITD Digital Content
CLA Louisiana/Southern Mississippi • SITI Information Systems
CMD Maryland • SITT Technical Services
CMI Michigan • SITW Webmaster
CMDS Mid-South DIEB Insurance & Employee Benefits
CMN Minnesota DKM Knowledge Management
COMA Nebraska • SRM Records Management
CBOS New England DLEG Legal
CNJ New Jersey DLMD Leadership & Management
CPRT New Jersey - Greater Princeton/Trenton • SLMC Consulting
CNY New York • SCB Content Buying
CUNY New York - Upstate • SLMM Marketing
CNC North Carolina DMIL Military Libraries
COK Oklahoma DMAH Museums, Arts & Humanities
COR Oregon DNWS News
CPNW Pacific Northwest DPER Petroleum & Energy Resources
CPHL Philadelphia DPHT Pharmaceutical & Health Technology
CPIT Pittsburgh • SMDD Medical Devices & Diagnostics Section
CRI Rhode Island DPAM Physics-Astronomy-Mathematics
CRIO Rio Grande DST Science-Technology
CRMT Rocky Mountain DSOC Social Science
CSTL Saint Louis Metro Area • SIGM Geography & Map
CSND San Diego • SIR International Relations
CSFO San Francisco Bay Region • SNS Nonprofit Sector
CSRN Sierra Nevada • SPP Public Policy
CSNA Silicon Valley
• SLAB Labor Issues
CSC South Carolina
DSOL Solo Librarians
CSCA Southern California
DTAX Taxonomy
CSAF Sub-Saharan Africa Provisional
DTRN Transportation
CSAP Tennessee Valley
CTX Texas
CAUCUS CODES
CTOR Toronto
KAPC Archival and Preservation
CVA Virginia
KAIS Association Information Services
CWDC Washington, DC
KBSB Baseball
CWCN Western Canada
KDAT Data
CWI Wisconsin
KEL Embedded Librarians
KGLI Gay, Lesbian, Bisexual and Transgender Issues
DIVISION CODES (with Sections) KINF Information Futurists
DAC Academic KIIE International Information Exchange
• SHEA Higher Education Administration KNAT Natural History
• SSCHOL Scholarly Communications KRET Encore - Retired Members
DBIO Biomedical & Life Sciences KUX User Experience
• SMED Medical KWF World Football Caucus

MAIL TO: Special Libraries Association, PO Box 75338, Baltimore MD 21275 USA
www.sla.org • Phone: +1.703.647.4900 • Fax +1.703.647.4901 • E-mail: membership@sla.org

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