CAROLINA INNOVATIVE USERS GROUP

INVOICE FOR 2007 MEMBERSHIP

 

 

AMOUNT DUE:         One year membership, January - December 2007

Institutional: $20.00                  Personal: $10.00

 

 

Name of

Library:_______________________________________________________________

 

Mailing

Address:______________________________________________________________

 

_____________________________________________________________________

 

_____________________________________________________________________

 

Contact

Person:_______________________________________________________________

 

Title:_________________________________________________________________

 

E-mail

Address:______________________________________________________________

 

Phone:________________________________________________________________

 

Fax:__________________________________________________________________

 

 

Make checks payable to Carolina Innovative Users Group.  CIUG Employer Identification Number (EIN) is 56-2043242.

 

Please complete this form and send it with your payment to:

 

Jeff Campbell

CIUG Secretary/Treasurer

216 Davis Library

Campus Box 3946

Chapel Hill, NC 27514-8890