Update Member Information

Last Updated: February 2, 2006

When completing the form, please provide as much of the requested information as possible. Required fields are labeled with headings in red type.

 Name
Last: First/Middle: Suffix:
    (e.g., "Jane C," "Billy Ray," etc.) (e.g., "MLS," "Jr," etc.)

 Business Address (Directory Information)
Title:
Library:
Institution:
Address1:
Address2:
City: State: Zip+4: -
Phone: Ext: Fax:
Email:

 Preferred Mailing Address (if different from Directory Information)
Address:
City: State: Zip+4: -

Library Type or Employment Status
Select one of the options below. If "Other" is chosen, either select an option from the drop-down menu or enter a text description in the adjacent textbox.
Academic Hospital Other:   or

 Newsletter/Directory/Mailing Lists
I prefer to receive the electronic version of the SCC newsletter, South Central Connection. Please do not send a paper copy.
I prefer to access the electronic (Web) version of the Membership Directory. Please do not send a paper copy.
Exclude my name from mailing lists provided to other non-profit organizations.
 

 

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©2006 SCC/MLA
Updated: 2/2/06