MARAC Membership Application

[Jennie Guilbaud <jennie.<guilbaud@ARCH2.NARA.GOV>>]

This message will appear periodically on a number of Listservs.  Please
forgive the redundancy.  If you are interested in joining the Mid-Atlantic
Regional Archives Conference (MARAC), please send the requested
information to Diana Shenk.  If you have any questions about this
organization please feel free to contact me at
jennie.guilbaud@arch2.nara.gov.

MARAC Membership Application

DUES YEAR--OCTOBER 1st-SEPTEMBER 30th
_____ Regular  $15.00          _____ Student/Retired  $5.00

NAME:_____________________________________________________

ADDRESS:__________________________________________________

__________________________________________________________

CITY:______________________________________________________

STATE:________________________ZIP CODE:__________________

TELEPHONE
(daytime):________________________________________________

FAX:______________________________________________________

E-Mail:_____________________________________________________

INSTITUTION:________________________________________________

STATE CAUCUS PREFERENCE:      DE      DC      MD      NJ      NY      PA
      VA      WV
To belong to additional State Caucuses, indicate which one(s) and add
$1.00 each to your dues payment.

May we include your name and address (only) on a MARAC mailing list
for distribution? _____YES     _____ NO

PLEASE CHECK THE CATEGORY(IES) WHICH BEST DESCRIBE YOUR
ARCHIVES:

_____ College/University     _____ Museum     _____ Religious
_____ Corporate     _____ NARA, LC, Presidential Library
_____ State/Local Government
_____ Historical Society     _____ Professional Society, Institute
_____ Other:______________________

PLEASE CHECK THE COMMITTEE(S) ON WHICH YOU ARE WILLING TO
SERVE:

_____ Arline Custer Award     _____ Finding Aids Award
_____ Membership     _____ Program     _____ Education
_____ Local Arrangements     _____ Nominations     _____ Publications
_____ Finance     _____ Meetings Coordinating     _____ Outreach
_____ Service Award

Make checks payable to MARAC and mail to:
Diana Shenk, MARAC Administrator
W313 Pattee Library, Penn State University
University Park, PA  16802
        Telephone:   814-863-2505     FAX:814-865-3665
        E-Mail:   dxs@psulias.psu.edu