2024-2025 NYLA Membership PO Request

Individuals looking to join NYLA for 2024-2025 membership year and requiring a quote to request a PO, can complete the following form. Upon successful submission of the form, a confirmation email outlining all included information will be emailed to the user email provided. If you do not receive the email confirmation in your inbox, please check all spam and junk folders. This is a multiple submission form, so in the event of an error, the form can be taken again for a new confirmation to be emailed. If any assistance is required, please email membership@nyla.org.

PLEASE NOTE THIS FORM IS NOT A MEMBERSHIP FORM AND ANYONE WHO USES IT WILL NEED TO OFFICIALLY JOIN THE NYLA SYSTEM USING THE JOIN FORM.

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* 1. Member Name (Personal Member or Key Contact for Organizational Memberships)

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* 2. Organization

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* 3. Member Email

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* 4. Bill To

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* 5. Billing Address (Street)

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* 6. City, State

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* 7. Zip Code

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* 8. Billing Email

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* 9. Personal Membership Options (Please select)

Professional Member (Up to $39,999) - $80

Professional Member ($40,000 - $99,999) - $100

Professional Member ($100,000+) - $175

Trustee - $50

Friend - $50

Retired - $50

Library Assistant/Support Staff - $50

Student - $30

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* 10. Organizational Membership Options (Please select)

Library/Library System $1 - $100K ( Includes 2 memberships) - $100

Library/Library System $100K - $500K ( Includes 5 memberships) - $350

Library/Library System $500K - $1M ( Includes 8 memberships) - $500

Library/Library System $1M - $3M ( Includes 15 memberships) - $1,000

Library/Library System $3M - $10M ( Includes 25 memberships) - $1,850

Library/Library System $10M+ ( Includes 30 memberships) - $2,750

Friends Group (Includes 5 memberships) - $100

Non-Library Organization (Includes 2 memberships) - $150

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* 11. Additional Sections (REMINDER each membership gets 1 included section. Each additional section would be $15. Please place the total for additonal section fees below. For Organizational Members - Please review your included members and indicate if there will be any additional sections added to the organizational membership total. Please include a $. )

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* 12. Additional Roundtables (Each additional roundtable would be $10. Please place the total for roundtable fees below. For Organizational Members - Please review your included members and indicate if there will be any additional roundtables added to the membership. Please include a $. )

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* 13. Total Membership Amount (Confirm your total membership fee (Membership Amount + Additional Sections Amount + Rountables Amount) by entering it below. Please include a $. )

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* 14. PO Request Form Requirement (Please review and check the box to confirm.)

I agree that this form does not constitute my membership form and I must complete the required form when it becomes available on the NYLA website. I agree that the membership total below is a quote, and the amount may be more or less, depending on my membership form selections. By checking the box below, I have reviewed all form information and understand that NYLA is not responsible for providing membership without proper form submission.