* 1. Today's Date

* 2. Name

* 3. Your Email Address

* 4. Phone

5. Name of Organization

6. Organization City and State

7. Your Title

8. I want to join the ASCLA Consortial E-Books Interest Group

9. ALA Member ID Number

* 10. I am a current ASCLA Member

* 11. I am a current ALA Member

12. I am an ALA member, but not an ASCLA member, and would like to join this Interest Group.

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