NLA Corporate Partnership Form
Membership Year -- January - December
Company: ________________________________
Address: _________________________________
Address: _________________________________
City, State, Zip: ____________________________
Contact Name: ____________________________
Title: ____________________________________
Phone: __________________________________
Fax: ____________________________________
URL: ___________________________________
Check the appropriate line

Membership Level:
Supporting ....... $500 _____
Associate.......... $250 _____
Affiliate............. $100 _____


New Partner: _______ Renewal: _______
Current Year: 20__

As an introductory offer, new partners who join before August 1st receive discounted exhibit space at the annual convention in October, with full benefits in effect the following January - December. To take advantage of this special offer, record the date you join: ______________

Corporate Partners are not members of special interest sections, nor are they voting members.

NLA is a nonprofit corporation exempt under section 501(c)(3) of the Internal Revenue Code. NLAQ is the official publication of NLA; copy deadline for the summer issue is April 30th. NLA's mailing list does not include members who opt out.

Make checks payable to: Nebraska Library Association

Mail to:
Maggie Harding, NLA Executive Director, P.O. Box 98, Crete, NE 68333-0098