Alaska Association of School Librarians (AkASL)
AkASL
Membership Registration/Renewal Form
(Membership runs
from July 1 through June 30th of each year.)
Be sure to RENEW for the current school year!
Make checks payable
to: AkASL
Please print out this form and mail form and check to:
Ann Morgester, 1470 Northview #4, Anchorage AK 99504
For more
information, email Ann Morgester (Membership Chair): annm@alaska.net
Please write
in amount of your choices:
$__________ACTIVE MEMBERSHIP ($20)
Alaskan school librarians who currently teach, direct, or supervise in the field
of school library information services.
$__________ASSOCIATE MEMBERSHIP ($10)
For those who are actively promoting and advancing school library programs. Includes
individuals in clerical positions, and those who are retired or from out of state.
$__________COMMERCIAL MEMBERSHIP ($40)
Organizations & businesses that wish to receive the Puffin, Battle of the Books
mailings, & other Association information..
Total amount:
$__________
Please complete
the information below:
First Name, MI,
Last Name: _________________________________________________________
Address (street):
___________________________________________________________________
City, State, Zip:
___________________________________________________________________
Home phone / Work
phone: __________________________/_______________________________
School or Business:
________________________________________________________________
Work Address:
____________________________________________________________________
Fax# / Email address:
_______________________________/_______________________________
Title, position,
etc. _________________________________________________________________
School District:
___________________________________________________________________
I am currently
a member of (check those that apply):Region: ____________ (Northern / SouthCentral
/ SouthEastern / Western)
I
am currently a member of (check those that apply): _____AASL National ______Alaska
Library Assn ____ALA
(Office use only)
Date:__________ Mb#__________ $Pd__________ Ck#_________
_____DB entered _____Cd sent