JANUARY 1 THROUGH DECEMBER 31, 2000

Name:__________________________________________________________________

Home Address:____________________________________________ Apt #__________

City:____________________________ State:__ __ Zip:__ ____ __ __-__ __ __ __

Home Phone Number:____-____-_______ Work Phone Number:____-____-________ Institution & Address______________________________________________________

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Membership dues are based on a twelve-month period beginning January 1^st through December 31^st. Membership entitles you to join ONE District, ONE Section, and ONE Interest Group. Please add $5.00

to your dues for each additional section or interest group you choose.

DISTRICT: NorthEAST_____ NorthWEST_____ Southern_____

SECTIONS: _____ NCRL (Nevada College & Research Libraries)

_____ NSCLS (Nevada School & Children’s’ Librarians)

_______ PLATO (Public Libraries & Trustees Organization)

INTEREST GROUPS:

_____ ACTION (All Classifications Teamed in One Network)

_____ CAPTAIN (Collections, Automation, Preservation, Technical Services & Acquisitions in Nevada)

_____ GODIG (Government Documents Interest Group)

_____ INDEXING (Nevada Newspapers)

_____ LIBRARY INSTRUCTION

_____ NNAG (Nevada Networking & Automation Group)

_____ NYRA (Nevada Young Readers Award)

_____ RAISON (Reference & Information Searchers in Nevada)

_____ REFORMA (National Association to Promote Library & Information Service to the Spanish Speaking)

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DUES: _____Friends, Retirees, Students, Trustees ($15)

_____ Salary Under $20,000 ($20) _____ Salary $30,000 and up ($40)

_____ Salary $20,0001-$30,000 ($30) _____ Institutional Member ($30)

Make Check Payable to NEVADA LIBRARY ASSOCIATION

Mail To: Susan Antipa, NLA Treasurer 775-887-2244 x 1016

Carson City Library FAX 775-887-2273

900 N. Roop Street

Carson City, NV 89701

JANUARY 1 THROUGH DECEMBER 31, 2000

Do you give NLA permission to release your address to vendors? YES______ NO______

Do you give NLA permission to release your address to vendors? YES NO