Membership Application

STEP 1: FILL OUT APPLICATION FORM ONLINE.

This is a: New membership Renewing membership

NEW MEMBERS: If you are joining after the first quarter of the year, please contact SALIS Home as you are eligible for a pro-rated rate!

Please fill out the entire form. We want to make sure we have all of your contact information. Also be sure and review the descriptions for the Special Interest Groups (SIGs) and Committees, so you may sign up to be active in SALIS.

Important! If the credit card holder is not the member, enter the credit card holder’s name & email in the spaces below the member. Note: American Express Corporate Cards are not accepted by PayPal. Use a different card, or pay with check or postal order using the print form (see above).

Section I – Contact Information for Member

Member Name (required)
Member Email (required)
Name on Credit Card (if different from member)
Credit card holder’s email
Title
Organization
Address
City
State
Zip/Postal Code
Country
Phone
Fax
Web URL

NEW MEMBERS: Please tell us how you heard about SALIS — SALIS member, colleague, website, other?
Section II – Membership Options Type of membership: If you are joining mid-year or paying an amount different from one of the options, select “Other” and when you get to PayPal, enter the amount you agreed on with SALIS Home. Check if you are interested in the following Special Interest Groups or Committees: Multi-Cultural SIG Advocacy Committee Development Committee Technology & Outreach Committee International Networking Committee