ࡱ> ?A>` bjbj 70 ````$Ly{{{{{{$hyy  ?`. l08>,!$El$   ULA PERSONAL MEMBERSHIP Membership year: January 1 through December 31 Date __________________________ Name ______________________________________ Job Title _______________________ Library or Branch Name _____________________________________________________ Institution or Business Name _________________________________________________ Work Telephone ________________ Extension ___________ Fax ___________________ Email _____________________________________________________________________ Preferred Mailing Address: Street ____________________________________________________________________ ____________________________________________________________________ City __________________________ State ___________ Zip _____________________ Membership Dues Please place a checkmark to identify your membership category _____ Category I $ 20Associate MemberFirst-time member, Student, Half-time library employee, UELMA member, Retiree, Trustee, General Public._____ Category II $ 40 MemberPersons employed in a library or library related setting more than 20 hours per week._____ Category III $ 1,000Lifetime MemberOne-time payment. Please indicate your main professional affiliation(s). All sections and roundtables are free of charge. Sections ( ) Academic Library ( ) Public Library ( ) School Library ( ) Special Library Roundtables ( ) ACRL - Association of College & Research Libraries( ) LAMART - Library Administration & Management( ) AMSC - Archives, Manuscripts, & Special Collections( ) LIRT - Library Instruction( ) BURT - Business Roundtable( ) LPSS - Library Paraprofessional & Support Staff( ) CSRT - Children Services( ) NPRT - New Perspectives( ) START Service and Technology Access( ) RAS - Reference & Adult Services( ) GENRT - Genealogy Roundtable( ) TSRT - Technical Services( ) GODORT - Government Documents( ) TFRT - Trustees and Friends( ) HEART - Health Roundtable( ) YART - Young Adult Services Can you serve on a ULA Committee or as an officer of the ULA? ( ) Yes ( ) No The ULA has permission to include my name in mailing lists sold to outside groups. ( ) Yes ( ) No Membership Dues $ ______________ Attach credit card authorization form or make check payable to: Donations: Intellectual Freedom Fund $ ______________ Utah Library Association Unrestricted General Fund $ ______________ P.O. Box 708155 Sandy, UT 84070-8155 Total Amount Enclosed $ ______________ Office Use Only Date Received: _____ Initials: _________ GHiR S T _   A V W g h i j ǼDZǦDZǛǐ҂teteWF hh56CJ\]aJh56CJ\]aJhh5CJ\]aJhh5CJ\aJhs56CJ\]aJh@5CJ\aJhv)5CJ\aJhj"5CJ\aJhRU5CJ\aJh5CJ\aJhs5CJ\aJhy5CJ\aJhy56CJ\]aJhs56CJ\]aJ hs5\GHhi S  T  A W h $7$8$H$Ifgd d7$8$H$gdy dh7$8$H$gdRU 7$8$H$gdj" 7$8$H$gd@ d7$8$H$gd 7$8$H$gdy $7$8$H$a$gdh i j ]IkdO$$Ifl0,"LL64 la $7$8$H$IfgdIkd$$Ifl0,"LL64 laj I J K e f u v w x % & ' ( ; = Q R ] ^ ȽȽֽȓxpxpxpxeeh@5CJ\aJhCJaJhsCJaJh@CJaJhs5CJ\aJ hRUhs56CJ\]aJhhCJaJhh5CJ\aJh5CJ\aJh56CJ\]aJ hh56CJ\]aJhRUh5CJ\aJhRUhCJaJ$ - J K f v ]Ikd$$Ifl0,"LL64 la $7$8$H$IfgdIkd$$Ifl0,"LL64 lav w x ]QE $7$8$H$a$gdRU $7$8$H$a$gdIkd$$Ifl0,"LL64 la $7$8$H$IfgdIkd<$$Ifl0,"LL64 la Q R ^ Ikd$$Ifl0,"LL64 la $7$8$H$Ifgds 7$8$H$gdy 7$8$H$gds ^ =>qs;=^_~  op/0[]lmǹǠǕhv75CJ\aJhs5CJ\aJhj"56CJ\]aJhs56CJ\]aJhj"CJaJhj"hsCJaJhsCJaJhj"hj"CJaJhj"5CJ\aJhj"CJaJ8>rs]Ikdx$$Ifl0,"LL64 la $7$8$H$IfgdsIkd)$$Ifl0,"LL64 la<]Ikd$$Ifl0,"LL64 la $7$8$H$IfgdsIkd$$Ifl0,"LL64 la<=_]Ikd$$Ifl0,"LL64 la $7$8$H$IfgdsIkde$$Ifl0,"LL64 la op/m 7$8$H$gdRU 7$8$H$gdy 7$8$H$gdsIkd$$Ifl0,"LL64 lamuwĹױhRUhsCJaJhRUCJaJhj"CJaJhs6CJ]aJhj"6CJ]aJhyCJaJhsCJaJhv75CJ\aJhs5CJ\aJhj"5CJ\aJ50P:pRU/ =!"#$% M$$If!vh5L5L#vL:V l65L4M$$If!vh5L5L#vL:V l65L4M$$If!vh5L5L#vL:V l65L4M$$If!vh5L5L#vL:V l65L4M$$If!vh5L5L#vL:V l65L4M$$If!vh5L5L#vL:V l65L4M$$If!vh5L5L#vL:V l65L4M$$If!vh5L5L#vL:V l65L4M$$If!vh5L5L#vL:V l65L4M$$If!vh5L5L#vL:V l65L4M$$If!vh5L5L#vL:V l65L4M$$If!vh5L5L#vL:V l65L4M$$If!vh5L5L#vL:V l65L4M$$If!vh5L5L#vL:V l65L4@@@ NormalCJ_HaJmH sH tH DAD Default Paragraph FontRi@R  Table Normal4 l4a (k(No List 0GHhiSTAWhij-JKfvwxQR^>rs<=_ op/ m  000000@0@0@0@0@000000@0 @0 @0 @0 @0@0 @0 @0 @0 @0 @0 @0@0 @0 @0 @0 @0 @0 @0 @0 @0@0@00000@0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 0 0 0 0 0 0 0 0 0 00000000000000  ۊ0@ۊ0ۊ0ۊ0j ^ m h v <  8@0(  B S  ?asa  *auas] l w {      j"v)v7@sRUyAWhijJKfvwx^>rs<=_ @ ?B  @@UnknownGz Times New Roman5Symbol3& z Arial"hfVF.f/!24d  2HP)?s2ULA PERSONAL MEMBERSHIP1humrefRanny LacanientaOh+'0 $0 P \ h tULA PERSONAL MEMBERSHIP1humref Normal.dotRanny Lacanienta5Microsoft Office Word@ِ@̃giS@ dS@՛ ?՜.+,0 hp  Brigham Young University G ULA PERSONAL MEMBERSHIP Title  "#$%&'()*+,-/012345789:;<=@Root Entry F ?BData 1Table!WordDocument70SummaryInformation(.DocumentSummaryInformation86CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q