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Music Library Association-Atlantic Chapter

Membership Application

Last update: September 18, 2002

Membership Application

Name: _______________________________________________________________

Job Title: _____________________________________________________________

Work Address: _____________________________________________________________


Phone: __________________________ Fax: _______________________________

E-mail: __________________________

_____ Please add me to the mailing list

_____ Please instruct me on how to subscribe to ATMLA-L

Chapter dues are $12.00 for professionals and $7.00 for paraprofessionals and students.  Additional support is welcome.  A check payable to "Music Library Association, Atlantic Chapter" along with this form should be mailed to:

Mary Prendergast
University of Virginia Music Library
Old Cabell Hall
PO Box 400175
Charlottesville, VA 22904-4175

Send comments or suggestions to:  Brian Cockburn