District of Columbia Library Association

DCLA: Membership Renewal/Application

The DCLA membership year begins on July 1 and ends on June 30. Membership information is available here.

Date:

Intercom selection (Please choose one):

A. Send INTERCOM (DCLA’s newsletter) ELECTRONICALLY. You will receive a monthly dcla-l e-mail notification with a link to the pdf version:
Work e-mail Home e-mail

B. Send INTERCOM via the U.S. mail:
Mail to my work address Mail to my home address

Select one E-mail address for DCLA-l e-mail:
Work Home do not send DCLA-L e-mail

This is your DCLA record for work information:

Name:		Title:
Employer/Institution:
Street Address:		City:
State:		Zip:
Work Phone:		Work Fax:
Work e-mail:

This is your DCLA record for Home information:

Street Address:		City:
State:		Zip:
Home Phone:		Home Fax:
Home e-mail:

Institutional members only — Please indicate the following:
Point-of-contact Name:
Phone:
E-mail:

Please check below up to three DCLA Interest Groups and Committees that especially interest you.

Advocacy	Intellectual Freedom	Library Legislative Day
Reference/Library Instruction	Children/Young Adults/School Libraries	Technical Services
Genealogy/Local History/Preservation	Audio Visual/Multimedia	Government Information
Library Technology	Support Staff	New Librarians
Management	Adaptive Library Services

I have sent my membeship dues in By PayPal By Check

MEMBERSHIP CATEGORIES (please Check one):

Individual:
Basic: $30.00 Supporting: $40.00 Part-time/Unemployed: $20.00 Associate: $20.00 Student: $20.00
Continuing (Retired): $20.00

Sustaining (names are listed in Intercom)
Supporter: $60-$99 Donor: $100-$249 Contributor: $250-

Institutional (names are listed in Intercom)
Institutional Supporter: $60-99 Institutional Donor: $100-249 Institutional Contributor: $250-499
Institutional Sponsor: $500-

Student Financial Assistance:
Donation to enhance programs:
TOTAL amount:

To help us better understand our membership, please respond to the following questions:

1. Are you a retired member? No Yes

2. Are you a student member? No Yes

3. In what type of library do you work?

Academic

School

Public

Federal

Military

Law

Other Special

4. What type of library work do you do? Please check up to three.

Acquisitions	Archives	Cataloging	Children/YA Service
Circulation	Collection Development	Community Outreach	Database Management
Genealogy	Government Information	Instruction	Media Services
Digital Libraries	Preservation	Public Services	Reference
Serials	Systems/Technology	Technical Services	Management

5. What prompted you to join or renew your membership this year? Check all that apply
Cost
Newsletter (Intercom)
Advocacy
Networking
List serv (DCLA-L)
Scholarship
Programs offered (please list a few)
Web site
Other (please specify)

DCLA | Box 14177, Benjamin Franklin Station, Washington DC 20044 | (202) 872-1112

Photo in Header copyright

Site created and maintained by