Online Sign-Up

WPWVC/ACRL - online sign-up form

* Indicates required field

Select the appropriate membership category *

Individual/Professional Membership = $15 Student/Retiree Membership = $10

Select membership status *

New Member Returning Member

Name *

First

Last

Email *

Title *

Institution *

Street Address *

City *

State *

Zip Code *

Work Phone *

Indicate which committees you would like to serve on (if any): *

I am interested in hosting an event (meeting or program) at my institution: *

Yes No

I am interested in running for a board position: *

Yes No

Submit