MLA Personal Membership Registration

Member Name *

Membership Status

New Member

Renewal

PayPal Email *

Personal Email (if different from PayPal Email)

Electronic Contact Consent *

Yes I give my consent to receive electronic messages from the MLA

No I do NOT give my consent to receive electronic messages from the MLA

In order to comply with anti-spam legislation (CASL), the MLA requires your consent to contact you via email. Please indicate whether or not you would like to receive electronic updates. Such messages may include information about newsletters, upcoming events, and other details relevant to the Manitoba library community.

Library/Institution

Address *

City *

Province *

Postal Code *

Phone Number *

Personal Membership Option Selected

Membership valid for twelve months from payment processing date. Your information will only be used for the purpose of determining membership. If you have any questions about the collection of this information, contact the Membership Director, Sarah Clark, at 204-474-6361 or membership@mla.mb.ca.

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