Membership form 2017

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Membership form revised 2017

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Membership form 2017

  1. 1. PHILIPPINE ASSOCIATION OF ACADEMIC / RESEARCH LIBRARIANS, INC. Rm. 301, THE NATIONAL LIBRARY BUILDING, T.M. KALAW ST., ERMITA 1000 MANILA, PHILIPPINES http://sites.google.com/site/paarlonlineorg M E M B E R S H I P F O R M TO : PHILIPPINE ASSOCIATION OF ACADEMIC / RESEARCH LIBRARIANS (PAARL), INC. Attn: Chair, Membership Committee Please register / renew membership as indicated below: Date : __________________  Institutional member (Please write the name of DESIGNATED representative below.)  Individual member ( ) Regular ( ) Associate Name ___________________________________________________________________________ (Surname) (Given) (Middle Name) Present Position/Designation _______________________ PRC License No. __________________ Home Address ____________________________________________________________________ Employing Institution ______________________________________________________________ Office Address ____________________________________________________________________ Email __________________________________ Mobile No. _______________________________ Telephone ______________________________ Fax ______________________________________ Note: Institutional member -------------- PhP1000 renewableannually Regular / Associate member------ PhP300 renewable annually  Enclosed is payment for membership fee amounting to PhP __________ cash and/or PMO/Check No. ___________ dated ______________ Bank ____________________  Deposited to Banco de Oro – UN Avenue, Manila branch No. 000-560-295-499 theamount of PhP____________ as payment for Institutional/Individual Membership for Year ________. (indicate on the deposit slip that the payment is for : Philippine Association of Academic/Research Librarians, to be indicated in full, not PAARL)  We are interested in joining PAARLNET as institutional member. Please send us more information. For more details on membership information, please visit http://sites.google.com/site/paarlonlineorg

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