Suncoast Information Specialists Membership
Dues: $5.00 per year (January through December)
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Name  

Date:

  
E-mail Address:  

Amount Paid:

 $      

  
Renewal ? ( ___ Y     ___ N)         Student ? ( ___ Y      __ N) 
  
Institution:  
Library/Institution
Center Name:		  
Institution Mailing
Address:		  
City/State/Zip:  
Telephone:  
Fax:  
Other Phone
(cell/work/home):		  
Optional
Preferred Mailing
Address:		  
City/State/Zip:  
Home Telephone:  
Membership Benefits
SIS Info is issued 6 times per year. It is announced on the electronic list (SIS-L ) and published on our website (http://tblc.org/sis/ ). Your annual dues help pay for various activities and programs sponsored by SIS. Dues are $5.00 per business year, January through December. If you want to remain an SIS member, please keep your dues current.  To join SIS, fill out the above application form. Keep in mind that the information provided will be the basis for the SIS Membership Directory, which is printed in the Spring of each year. Please email sis@tblc.org of any changes in the future.
Payment
Make check payable to Suncoast Information Specialists , in the amount of $5.00 per membership year (January through December)
Mail this form to: Suncoast Information Specialists
c/o Tampa Bay Library Consortium
1202 Tech Blvd. (Suite 202)
Tampa, FL 33619
Treasurer

  
   Cash: _______     Check #: _______     Amount: _______     Deposited: _______ 
     Database: _______         SIS-L: _______         Expires: ________
  Form Updated January 4, 2008

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