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Your Personal Invitation to Join the

NASSAU COUNTY LIBRARY ASSOCIATION
MEMBERSHIP BENEFITS INCLUDE:

[NOTE: Providing your e-mail address will register you on the NCLA listserv.]

COMPLETE AND RETURN THE ATTACHED
MEMBERSHIP APPLICATION
DO IT TODAY!

--------------------------------------------------------------------------------------------------------------------

Date:_________________      
SCHEDULE OF DUES- Calendar Year

Name_________________________________________

Library________________________________________
(or address)
______________________________________________
e-mail address:_________________________________
Posit
ion:____________________________________

DIVISIONS (select choice, 1, 2, ....)
Academic and Special Libraries  ___
Children's Services                    ___
Clerical Services                       ___
Media Services                         ___
PR Services/Programming         ___
Reference & Adult Services       ___
Young Adult Services                ___

Salary:
$0         - $15,000
$15,001 - $30,000
$30,001 - $45,000
$45,001 - $60,000
$60,000 -

Institutions & Vendors**
Students, Retirees, Trustees, Friends
Additional Divisions

Total dues enclosed

Donation - NCLA Scholarship Fund
Donation - NCLA Education Grant Fund


$15.00
$25.00
$35.00
$40.00
$45.00

$45.00
$10.00
$3.00

$________

$________
$________
** Institutional members receive one free copy of every membership publication plus five vouchers to permit a library employee or trustee to attend a workshop at member rates.

Please make checks payable to: NASSAU COUNTY LIBRARY ASSOCIATION
Send this form and payment to: Arthur Friedman, Ed.D., NCLA Membership Chair
% Nassau Community College, One Education Drive
Garden City, New York, 11530-6793
Check this box if you are interested in the Group Disability Insurance Program: __
                                                                                               Dental Plan : __
   

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