American Indian Library Association

July 2004 - June 2005 Membership Form

---

Name: _____________________________________________________________________

Position or Title: _____________________________________________________________

Address: ____________________________________________________________________

Address: ____________________________________________________________________

City: _____________________________________ State: _____________ Zip: ___________

Phone number: ___________________ Fax: ________________ E-mail: ________________

_______

Institutional Membership

$30.00

_______

New Subscription

_______

Individual Membership

$15.00

_______

Renewal

_______

Student Membership

$ 10.00

_______

Contributions to AILA scholarship fund

Membership dates: July 1-June 30 annually

Would you like to join our electronic list, AILA-L? Yes ___ No ___

Send check made out to the American Indian Library Association and completed form to:

American Indian Library Association
c/o Joan Howland, Law Library
University of Minnesota
229 19th Avenue, South
Minneapolis, MN 55455

Special note regarding mailing list rentals: from time to time, AILA rents its membership list to selected organizations/individuals 1) offering services or products related to libraries; 2) doing research surveys; or 3) advertising library/information setting positions.

If you do NOT wish to be included in these mailings, please check here: _______ .

For more information, see the AILA website:

http://www.nativeculturelinks.com/aila.html