Pay Online with PayPal

Dues are $15.00 per calendar year, due on January 1 of each year. For users of PayPal, we charge an additional $0.64 to offset our PayPal transaction fee. By using this form, you will be charged a total of $15.64.

MLA NY-NJ Chapter Online Membership Form:
Membership Type:
Name:
Job Title:
Business Address (this address will be listed in the Chapter Directory):
Institution:
Library:
Address 1:
Address 2:
City:
State:
Zip:
Phone:
FAX:
Email:


Mailing Address (only if different from above):
Address 1:
City:
State:
Zip:

Are you currently a member of the Medical Library Association (national)?

AHIP?   

 

 

Are you interested in being contacted about joining a Chapter committee or filling a Chapter position?