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Membership Application

You do not need to submit a separate membership application if you paid your Section membership dues at the same time as your annual MLA dues.

Make your check for $10.00 payable to MLA and mail with this form to:

        Medical Library Association
36348 Treasury Center
Chicago IL 60601-7298

*Please indicate on your check that it is for Leadership and Management Section dues.
**Also include your MLA Membership Number on your check.

Name:

Institution:

MLA Membership Number:

Address:

City:

State/Province:

Country:

ZIP Code or Postal Code: