Membership Application

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New Affiliate or International Affiliate members receive a 10% discount on first-year dues!

The membership year runs from July 1 - June 30 each year. NELLCO welcomes new members at any time during the year. Dues will be pro-rated accordingly.

AFFILIATE MEMBERS - Dues for 2012-2013 - $3000.00 USD
INTERNATIONAL AFFILIATES - Dues for 2012-2013 - $2000.00 USD
INDIVIDUAL MEMBERS - Dues for 2012-2013 - $75.00 USD - This category of membership is open only to law librarians currently employed in academic, state, court and county, or law firm libraries. Any librarian currently employed by a NELLCO member library (Full, Affiliate or International Affiliate) enjoys all benefits of Individual Membership through their institutional membership and need not apply for Individual Membership.

To join, please complete the form below. We will bill you directly once your application has been approved and processed.

Fields marked with * are mandatory. Please enter N/A into mandatory fields that do not apply to your membership.

Membership Type *Select the type of mmebership for which you are applying.	Affiliate (U.S.) International Affiliate (outside U.S.) Individual (Not affiliated with a NELLCO Member Library)
Organization *
Library Director First Name *
Library Director Last Name *
Library Director E-mail Address *
Primary Acquisitions Contact First Name *This is the main contact for this membership account.
Primary Acquisitions Contact Last Name *
Professional Title *
Acquisitions Email Address *
Library Address Line 1 *
Address Line 2
City *		State/Province *
Zip/Postal Code *		Country (if not U.S.)
Country Code (if applicable)This is the international calling code for your country.		Phone Area Code *
Phone *		Fax
IP Ranges Please enter the active IP ranges for users in your library. Use the format xxx.xxx.xxx.xxx. You may use or . to substitue for a complete range. Not applicable to individual members.
FTE or population served *Please enter the full-time equivalency (academics:students, faculty and staff) or population served (state,court and county) for your user community. Not applicable to individual members.		OCLC Symbol *Please enter your OCLC symbol(s). Not applicable to individual members.
Promo Code? Enter it here.

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