ࡱ> 463` bjbj 0  2 $h + + @     m# ? "V0, |4 v* T~ D 2 ++  d d  ULA INSTITUTIONAL MEMBERSHIP FORM Libraries, Business Firms and other Institutions Supporting the Association Membership year: January 1 through December 31 Date __________________________ Institution or Business Name ____________________________________________ Contact Name ________________________________________________________ Work Telephone ________________ Extension _______ Fax __________________ Email _______________________________________________________________ Mailing Address: Street _______________________________________________ City __________________________ State ___________ Zip _______________ ____ Institutional: Silver $100 Two free individual ULA memberships Receive exhibit space application for annual ULA conference two weeks earlier than general mailing, affording chance for first choice of exhibit location Discount on exhibit space at the ULA conference (subject to reservation deadline) Discount on ads in printed ULA conference program Discount on the purchase of conference attendee mailing labels Institutional name will be published in official ULA publications ____ Institutional: Gold $250 Four free individual ULA memberships All Silver level benefits, as well as the following Free set of membership or conference attendee mailing labels One free quarter page ad in conference program _____ Institutional: Platinum $500 Eight free individual UAL memberships Includes all Gold level benefits, as well as the following Two free sets of membership or conference attendee mailing labels (or one of each) One additional quarter page ad in conference program (or combine for one free half-page ad) off regular price of a single booth space at ULA conference (subject to reservation deadline) The ULA has permission to include my institution in mailing lists sold to outside groups. ( ) Yes ( ) No Membership Dues $ ______________ Donations: Intellectual Freedom Fund $ ______________ Unrestricted General Fund $ ______________ Total Amount Enclosed $ ______________ Attach credit card authorization form or make check payable to: Utah Library Association P.O. Box 708155 Sandy, UT 84070-8155 !"7FGSTmn   & h j O t Qx |o|obo|o|oљhhCJ^JaJhhGCJ^JaJhhLCJ^JaJh(hG5^JaJh h(hGh}>hG5CJ\aJh}>5CJ\aJh}>h}>\h}>h}>6h(hG6h(hG5h(hG\^JaJh\^JaJ h5CJh(hG5CJ#"n Q 2 c ' j k O P  & FgdGgdG 7$8$H$gd}>$a$gd}>$a$gdGP t (PQx  Mh{ & FgdGgdG hwz|}hh 3CJaJhCJaJha CJaJhhGCJaJ .:p/ =!"#$% @@@ GNormalCJ_HaJmH sH tH DAD Default Paragraph FontRiR  Table Normal4 l4a (k(No List"n Q2c'jk OPt(PQx  Mh{000000000000 0 0 0 0 0 000 0 0 0 0 00 0  0  0  0  0000000000000"n2Mhۊ0 ي0 ۊ0 ۊ00ي00ي00ي00ۊ00ۊ00ي00ۊ00  P   aJSa jada,a\a [a T aMMhh{{QQpwV*urn:schemas-microsoft-com:office:smarttagsplacehttp://www.5iantlavalamp.com/;*urn:schemas-microsoft-com:office:smarttagsaddress>*urn:schemas-microsoft-com:office:smarttags PostalCodeh*urn:schemas-microsoft-com:office:smarttagsCity0http://www.5iamas-microsoft-com:office:smarttags:*urn:schemas-microsoft-com:office:smarttagsStreeti*urn:schemas-microsoft-com:office:smarttagsState0http://www.5iamas-microsoft-com:office:smarttags BS[33"2kPhw}5J%dwh^`OJQJo(hHh^`OJQJ^Jo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hH5J%          3}>L xNa G@(L@@UnknownGz Times New Roman5Symbol3& z Arial?5 z Courier New;Wingdings"hkfYFGIGI!242QHP)?G2!ULA INSTITUTIONAL MEMBERSHIP FORMHBLLRanny Lacanienta Oh+'0  (4 T ` lx$ULA INSTITUTIONAL MEMBERSHIP FORMHBLL Normal.dotRanny Lacanienta3Microsoft Office Word@J6@-@ ?GI՜.+,0 hp|  BYUG "ULA INSTITUTIONAL MEMBERSHIP FORM Title  !"$%&'()*,-./0125Root Entry F# ?7Data 1TableWordDocument0SummaryInformation(#DocumentSummaryInformation8+CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q