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SAHLA Membership Form

(October 2011 - September 2012)

SAHLA is a chapter of the Canadian Health Libraries Association

Please type in your information in the following form and print.

New Member       Renewal

Date
Name
Position Title
Organization
Address 1
Address 2
Phone Number
E-mail Address

Are you a member of CHLA/ABSC?
Yes       No

Can we share your information with other organizations?
Yes       No

Please mail your completed form and $15 cheque payable to
SOUTHERN ALBERTA HEALTH LIBRARIES ASSOCIATION to:

SAHLA Membership
c/o Marcus Vaska
Health Sciences Library - University of Calgary
Health Sciences Centre
3330 University Drive N.W.
Calgary, Alberta T2N 4N1