Commercial Membership Form
FOR THE CALENDAR YEAR JANUARY–DECEMBER

Company:	___________________________________________________________
Address:	___________________________________________________________
City/State/ZIP:	___________________________________________________________
Contact Name:	___________________________________________________________
Phone:	(          )________________________________________
FAX:	(          )________________________________________
E-mail:	___________________________________________________________
COMMERCIAL DUES . . . . . . $ 500.00 _____ VISA _______ MasterCard_______ American Express_______ Discover CARD NUMBER:_________________________________  EXP DATE:___________________ CARDHOLDER SIGNATURE:_____________________________________________________ Make CHECK payable to: TEXAS LIBRARY ASSOCIATION 3355 Bee Cave Road, Suite 401 Austin, Texas 78746-6763 512/328-1518 FAX: 512/328-8852 800/580-2852 EMAIL: tla@txla.org