Beta Phi Mu
Beta Lambda Chapter
Last Name_________________________________First
Name____________MI_______
Address_________________________________________________________________
Address_________________________________________________________________
Employer________________________________________________________________
Position_________________________________________________________________
Home Phone___________________________Work Phone________________________
E-mail: Home__________________________Email Work_________________________
Library School Attended_____________________________________________________
Semester and Year Graduated________________________________________________
Maiden Name_______________________________Date:________________________
Enclosed with this form is my
dues of $_______($10 per year; may renew for extra
years.)
Additional
donation to the Graduate Student Scholarship Fund
of $_______
Make your check or money order payable
to:
Beta Lambda
Chapter of Beta Phi Mu
University
of North Texas
Information Sciences Building, Room 205
P.O. Box 311068
Denton, TX 76203-1068