TX Library Champion Corporate Membership Request Form
Thank you for your interest in joining TLA as a TX Library Champion Corporate Member!  This level of membership shows your commitment to the library community as well as your dedication to staying at the forefront of the latest industry news and information.  Kelly Dibbens, TLA Membership Coordinator (kellyd@txla.org), will be in contact with you shortly to confirm your membership.  
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Company Name *
Contact First Name *
Contact Last Name *
Email Address *
Phone number *
Billing Street Address *
Billing City *
Billing State *
Billing Zip Code *
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