Application for Membership in UNYOC/MLA

To join UNYOC, complete this form and mail to the address below. 
(Note: Payment must be made by mail. You can enter information online, then print the completed form,
or print out a blank form and complete by hand.)

Dues cover membership for one year, January 1 - December 31, 2008

 

New      Renewal

Regular ($15.00 U.S. or Canadian)

Student ($7.50 U.S. or Canadian)

Emeritus (Dues Exempt)

Fellow (Dues Exempt)

I no longer wish to be a member. (Please tell us why)

 

MEMBERSHIP INFORMATION

Name:

Organization:

Street Address:

City/State/Zip:

Phone (Work):

Fax Number:

Phone (Home):

E-mail:

MLA Member:   Yes    No    Send Application Form

AHIP Member:   Yes    No    Send AHIP information

Please contact me regarding joining a UNYOC committee or filling a UNYOC position!

 

Mail membership form, with fee, to:

Amy Gische Lyons
Associate Director, Health Sciences Library
University at Buffalo
3435 Main Street
Buffalo, New York 14214
 
Updated: October 12, 2007