ALHeLA Membership Form

 

Name:________________________________________________________________________________

 

 Library:_______________________________________________________________________________

 

Institution:_____________________________________________________________________________

 

 Address:______________________________________________________________________________

______________________________________________________________________________________

 

 Phone:_______________________________________Fax:_____________________________________

 

 E-mail:_______________________________________________________________________________

 

 Membership year:__________ (dues are paid for the fiscal year, Jan.-Dec.)

 

 Amount enclosed:________Regular ($15.00) __________ Student ($5.00)

 

Make checks payable to:
Alabama Health Libraries Association, Inc.

Mail check and form to:
Nicole Mitchell
ALHeLA Treasurer
UAB Lister Hill Library
1530 3rd Ave South
Birmingham , AL 35294-0013