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WHSLA 2021 Membership Form
Join WHSLA or renew your membership with this online form. Membership is per calendar year from January 1-December 31. Dues are $20. You may pay online, or mail a check payable to: Wisconsin Health Science Library Association to Robert Koehler, Unity Point - Meriter Hospital , Medical Library, 202 S. Park St, Madison, WI 53715-1596.
Are you a new or renewing WHSLA member?
*
New
Renewing
Which WHSLA Consortium would you like to affiliate with? (free)
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FRVLAC (Fox River Valley Area Library Consortium)
SWHSL (Southeastern Wisconsin Health Science Libraries)
None
Name
*
First Name
Last Name
Library name, Institution name
*
Library Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email (This email will be added to the WHSLA list-serv)
*
example@example.com
How will you be paying dues?
*
Online via PayPal
By mail with check
Submit
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