Untitled Document

St. Louis Medical Librarians Membership Form

The membership year is January to December and dues are $20.00 per year (institutional or individual). The membership form can be completed online, then printed out. OR it can be printed out and completed by hand. Please send the printed form and a check for $20.00, payable to SLML, to:

Cathy Sarli
Becker Medical Library
Campus Box 8132
660 South Euclid
St. Louis, Missouri 63110

Membership Type:

Personal Institutional

Name:

Title:

Library:

Institution:

Address:

City:

State:

Zip:

Phone:

FAX:

E-mail:

URL

OCLC Code

DOCLINE Code

Online Privacy Waiver

I want full listing in the SLML online directory.
I want only my name and email address in the SML online directory.
I do not want to be listed in the SLML online directory.

Interested in Working
on a Committee

	Any		Membership
	CE Program		Governance
	Archives		Communication
	Finance		Recognition and Awards

If you have any questions please contact the Membership Chair.

The membership form can be completed online, then printed out. OR it can be printed out and completed by hand. Please send the printed form and a check for $20.00, payable to SLML, to:

Cathy Sarli
Becker Medical Library
Campus Box 8132
660 South Euclid
St. Louis, Missouri 63110