Poplar Bluff Public Library

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2009 MEMBERSHIP DUES

PLEASE SUBMIT the information below by May 22nd.

Send your TOTAL DUE (annual membership dues and conference registration fees) to:

MPLD
ATTN: Jackie Thomas, Director
Poplar Bluff Public Library
318 North Main Street
Poplar Bluff, MO 63901

Name:
Library:
Address:
City:
State:
Zip:
Email:
2009 Member:	$30 annual membership
June 2009 Conference:	$75 Member Registration $85 Non-member Registration $100 Washington Advocacy Day
TOTAL DUE:
(Make checks payable to: Missouri Public Library Directors)

Click "Submit" to send your completed form to MPLD.
Click "Reset" to clear the form values and begin again.

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