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MALiA Membership Form
$150.00 for all library types and locations
The Mid-Atlantic Library Alliance, Inc. (MALiA) membership year runs from July 1 to June 30.
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* Indicates required question
Library/Institution Name
*
Your answer
Library/Institution Type
*
Public
School
Academic
Special
Other:
Address
Address Line 1
*
Your answer
Address Line 2
Your answer
City
*
Your answer
State
*
Your answer
Zip/Postal Code
*
Your answer
Primary Contact
Name
*
Your answer
Title
*
Your answer
Email
*
Your answer
Phone
*
Your answer
Billing Contact
Name
*
Your answer
Title
*
Your answer
Email
*
Your answer
Phone
*
Your answer
Additional Contacts for MALiA List
Additional addresses can be added below or by going to
http://malialibrary.org/malia-email-list/
Your answer
Use this space to provide any comments or suggestions regarding MALiA programs or services.
Your answer
Does your library use Virginia’s eVA procurement portal for library purchases?
*
Yes
No
Is your library required to use Virginia’s eVA procurement portal for library purchases?
*
Yes
No
Payment
How will you be paying?
*
Credit Card (go to:
https://squareup.com/market/mid-atlantic-library-alliance/
)
Invoice (Download invoice here: (
https://drive.google.com/file/d/1SG17at6yGBBJxw4AU45gq0rCRlMUf-qM/view?usp=sharing
)
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