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Appointment Acceptance Form (Form A-10)

Name:   (Use same form of name that appears on your ALA membership card.)
Title:   (at your institution)
Library/Institution Address:*  
 * If you change your position or address during your term, please notify the LITA Office.
Home Address:  
Work Phone:  
Work FAX:  
E-Mail:  
Home Phone:  
Please send my mail to:   library/institution   home
I accept your invitation to serve as    member    chair   intern   other (specify: )

of/on the following Committee/Subcommittee:

Bylaws and Organization Committee
Education Committee
Hugh C. Atkinson Memorial Award Committee
International Relations Committee
ITAL Editorial Board
Legislation and Regulation Committee
LITA/Brett Butler Entrepreneurship Award Committee
LITA/Ex Libris Student Writing Award Committee
LITA/Library Hi Tech Award Committee
LITA/LSSI and LITA/OCLC Minority Scholarships Committee
LITA/OCLC Frederick G. Kilgour Award Committee
LITA/Christian Larew Memorial Scholarships Committee
Machine-Readable Bibliographic Information (MARBI) Committee
Membership Development Committee
National Forum 2008 Planning Committee
Nominating Committee
Program Planning Committee
Publications Committee
Regional Institutes Committee
Technology and Access Committee
Technology Electronic Reviews (TER) Board
Top Technology Trends Committee
Web Coordinating Committee

Term:   -

I am a member of LITA and my ALA Membership Number is .

Listed here are my current committee and/or officer assignments in ALA and its units (include committee, etc., name and term):

By accepting this appointment I agree that all working papers and final products of this group are the sole property of LITA and are not to be used for any personal projects unless written permission has been obtained from the appropriate governing body. And by accepting this appointment, I certify that it does not represent a conflict of interest. I also understand that failure to attend two meetings without an explanation acceptable to the chair constitutes grounds for removal.

      

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