Georgia Library Media Association, Inc.
Membership Application
Membership Year - January 1 to December 31

Please fill out the following form, then press the "submit" button.  New members will need to print this page and mail your membership dues to the following address:

Executive Office: 
GLMA Executive Office
2711 Irvin Way, Suite 111
Decatur, GA 30030

Questions?  Call 404-299-7700 or email glma@jlh-consulting.com

 

Name (Dr./Mr./Mrs./Ms)  First, Middle, Last
Email Address
Home Address
City
State
Zip
Home Telephone
Fax
Job Title or Position
Place of Employment (Name of School, etc.)
Employment Address
City
State
Zip
Work Telephone
Work Fax
School System County
Affiliate Memberships
ALA/AASL	NEA
GAE	GLA
AECT	GAIT
PAGE	AFT/GFT
Membership Type
Regular ($30)
Retired ($15)
Student ($12.50)

Copyright 2003, Georgia Library Media Association