New York State Association of Library Boards

Organizational Membership Registration Form

Library Address Information:
Library Name
System Name
Director's Name

	Address
	Zip code
	Email
	Phone

Your library's budget is	$
Total population served by your library is

If library budget is:	then dues are:
less than $30,000	$10
$30,000 - 50,000	$35
$50,001 - 100,000	$60
$100,001 - 500,000	$120
$500,001 -$1,000,000	$175
$1,000,001 - 3,000,000	$225
$3,000,000 - 5,000,000	$325
$5,000,001 - 7,000,000	$425
more than $7,000,000	$525

Your membership dues are (based on budget and scale above):	$
click here if you wish to fulfill your membership online through PayPal.

If printing and mailing your registration, please review and enclose:
	List of Board of Tustees*
	A check for your library's membership

* Please be sure to mail your Board of Trustees list. This will guarantee that trustees receive NYSALB's newsletter and other pertinent mailings
to support them in their role to support your library. It can be emailed to NYSALB@nycap.rr.com or PO Box 11048 Albany, NY 12211.