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Committee Preference:





Name:

Business Address:

Institution:
Library:
Street:
City/State/ZIP:
Telephone:
FAX:
E-mail:
MAC Member: Yes No
MLA Member: Yes No

Please print and return to the MAC Chair.

Note: If support is unavailable from your institution, committee members may request travel assistance up to $200 to attend committee meetings held in conjunction with the January and September Executive Board Meetings. Attendance at other committee meetings is the responsibility of the committee member.