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(Information provided will only be used to supply services to which LIANZA Members are entitled)
New Member Renewal
Membership Number: If known
Dr Prof Mr Mrs Ms
Name:
Contact Details:
Phone (Hm):
Phone (Wk):
E-mail:
Password:
Confirm password:
Fax No.:
Home Address:
Work Address:
Current Position:
(Please remember to advise Office of Change in Address and/or Employment)
Qualifications:
Only fill in new qualifications
If a student:
Course enrolled in:
Institution:
Date studies commenced
Awards
Library & Other
Membership of Other Organisations:
Areas of Interest:
Member's areas of Professional Interest
I am interested in working on a LIANZA work group/taskforce in the following areas:
Please select all interests.
Awards
Code of Practice
Event Management
Making Submissions
Lobbying (e.g. NIS)
Professional Development
Website Management/Development
Business Development
Copyright
Marketing
Membership
Policy
Sponsorship
Conference Committee
Maori Subject Headings Working Party
Other:
I am willing to represent LIANZA on an advisory group, e.g. Victoria University or The Open Polytechnic.
Yes No
Te Ropu Whakahau - Maori Library and Information Workers Association has been formed to encourage Maori participation in Library Information work, and educational resourcing. The group has a formal partnership with the LIANZA (based on the Treaty of Waitangi) and consists of Maori who work or have an interest in Libraries, Archives and Information Management. There is also a category of Membership available to those Institutions and Individuals who are not of Maori descent, but who wish to support the group's Kaupapa. For more details go to the Te Ropu Whakahau website.
SIGs $10.00 each All rates include GST, except Overseas which are GST Exempt
Please indicate if you wish to help on the:
National Regional SIG committees
SIGs
BIC
CAT
EAST-IN
HEALTH
IT
PRES
PL
RESEARCH
SLIS
TEL
SLIS NTH
Membership categories:
Personal members: are those working or interested in libraries and the information industry.
New members: are those who've started their professional library and information career/studies in the last 24 months.
Retired members and Alumni: are those who have retired or left the profession but still wish to remain in touch. Includes members taking parental leave for up to 12 months.
Please note:
LIANZA prefers payment by cheque or direct debit from your bank account. You can help LIANZA reduce costs by using these methods.
LIANZA Bank A/c: 01 0505 0359019 00 (ANZ, Wellington)
Subscription Amount:
$
SIG Amount: @ $10 per SIG
$
Donation Amount:
$
Total Amount:
$
GST No. 10-386-179
Payment can also be made by credit card (Visa, Mastercard or Bankcard only). You may be able to arrange this through your employer to save you money.
Invoice Credit Card Please tick one of the above - Automatic Payment is for Ordinary Members Only)
If paying by Credit Card please enter your details below
Name on card:
Card Number:
Expiry Date:
Month: Year:
This form serves as an Invoice, and may be used for GST purposes by NZ Organisations
If you do not receive an e-mail acknowledgement within two weeks, please contact the LIANZA office by e-mail or phone (04) 473 5834
