ACRL Personal Membership Form

Name (Prefix, First, Middle, Last, Suffix):


Job title or current position:


If student member, your institution:


Place of Employment:


Employment Address

Street: 


City, State, Zip:


Work Phone:


E-mail Address:


Home Address

Street:


 

City, State, Zip:


Work Phone:


E-mail Address (if different from above):


Communication Preferences

Please send ALA mail to:  check box on printout to select  Home      check box on printout to select  Work

Please send ALA billing to:  check box on printout to select  Home      check box on printout to select  Work

To ensure you receive timely and useful information from ALA units and carefully screened outside organizations, and that you receive only the types of information you want, please indicate your communication preferences below:

check box or print out to select From ALA and outside organizations     check box on printout to select Just ALA    check box on printout to select Official Communications Only

Please choose a format:

check box on printout to select By Email    check box on printout to select By Paper    check box on printout to select Either 

Communities of Practice

ACRL membership dues include three free Communities of Practice memberships (with a maximum of two sections). Additional Communities of Practice memberships are $5 each.

Sections (choose up to two free sections)
check box on printout to select  African American Studies Librarians (AFAS)
check box on printout to select  Anthropology and Sociology (ANSS)
check box on printout to select  Arts
check box on printout to select  Asian, African and Middle Eastern (AAMES)
check box on printout to select  College Libraries (CLS)
check box on printout to select  Community and Junior College Libraries (CJCLS)
check box on printout to select  Distance Learning (DLS)
check box on printout to select  Education and Behavioral Sciences (EBSS)
check box on printout to select  Instruction (IS)
check box on printout to select  Law and Political Science (LPSS)
check box on printout to select  Literatures in English (LES)
check box on printout to select  Rare Books and Manuscripts (RBMS)
check box on printout to select  Science and Technology (STS)
check box on printout to select  Slavic and East European (SEES)
check box on printout to select  University Libraries (ULS)
check box on printout to select  Western European Studies (WESS)
check box on printout to select  Women and Gender Studies (WGSS)

Interest Groups
check box on printout to select  Academic Library Services for International Students Interest Group
check box on printout to select  Digital Curation
check box on printout to select  Health Sciences Interest Group
check box on printout to select  Image Resources Interest Group
check box on printout to select  Numeric and Geospatial Data Services in Academic Libraries
check box on printout to select  Residency Interest Group
check box on printout to select  Universal Accessibility Interest Group
check box on printout to select  Virtual Worlds Interest Group

Membership Categories

These dues rates are in effect starting September 1, 2011.

check box on printout to select   First-time membership in ACRL and ALA ($65 special rate for new ALA members and $56 for ACRL membership) …… $12
check box on printout to select
   Second-year membership in ACRL and ALA ($98 special rate for 2nd year ALA members and $56 for ACRL membership) …… $154
check box on printout to select   Regular renewing membership in ALA ($130) and ACRL ($56) …… $186
check box on printout to select
   Library support staff members including those employed in library and information services or related activities ($46 ALA, $56 ACRL) … $102
check box on printout to select
   Student membership (enrolled at least half-time in a library science program—limit 5years) ($33 for ALA, $36 for ACRL) …… $69
check box on printout to select   International members who do not hold U.S. citizenship and who are not employed in the U.S. or U.S. possessions ($78 for ALA, $56 for ACRL) …… $134
check box on printout to select   Associate Members including those not employed in library and information services or related activities who, through their personal commitment and support, promote library and information services; e.g. friends and special citizen caucuses and/or individuals interested in participating in the work of the Association ($59 for ALA, $56 for ACRL) …… $115
check box on printout to select
   Retired members ($46 for ALA, $36 for ACRL) …… $82
check box on printout to select  Members earning less than $25,000 per year or unemployed ($46 for ALA, $56 for ACRL) …… $102
check box on printout to select  Continuing ($36 for ACRL) …… $36
check box on printout to select  Life ($56 for ACRL) …… $56

check box on printout to select  I am already an ALA member, but want to join ACRL for $56.
ALA Membership No. ____________________________

check box on printout to select  I am a life member of ALA member and want to join ACRL for $56.
ALA Membership No. ____________________________


Number of additional section memberships checked @$5/section

Section Dues _________ ALA/ACRL dues: _________________

Total Dues _______________


Method of Payment

check box on printout to select My check is enclosed for $ ____________ , payable to the American Library Association

check box on printout to select Charge $____________ to my:      check box on printout to select Visa      check box on printout to select MasterCard      check box on printout to select American Express

Card Number: ___________________________

Expiration Date: ________________

Name as it appears on card: _____________________________________________

Signature: _____________________________________________________________

Mail completed applications to:

American Library Association
50 East Huron Street
Chicago, IL 60611

You will receive services upon payment. Please allow 4-6 weeks for initial receipt of publications. You will be billed annually in the month in which you joined.