CT GODORT - Connecticut Government Documents Round Table

ANNUAL MEMBERSHIP RENEWAL

2006 - 2007

INSTRUCTIONS:

Complete this form.

Make out a check for the amount of $7.00 made payable to "Connecticut GODORT."

Send the completed form and check to the Treasurer at the following address:

Erhard Konerding
Olin Library
Wesleyan University
252 Church Street
Middletown, Connecticut 06459

NAME   __________________________________________________________________________

POSITION  _______________________________________________________________________

ORGANIZATION  _________________________________________________________________

MAILING ADDRESS

STREET  __________________________________________________________________________

CITY  _____________________________________    STATE  ______________   ZIP  ___________

WORK PHONE  ___________________________________

E-MAIL ADDRESS  ________________________________

Has any of the above information changed since last year?___ YES     ___  NO

If there has been a staff change that affects your institution's CTGODORT membership, please forward this information to the CTGODORT secretary:

Bill Gamzon
J. Eugene Smith Library, Eastern CT State University
Phone: 860-465-5551
E-Mail: gamzonw@easternct.edu

We welcome any suggestions that you might have for topics or locations for future GODORT meetings or activities.

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