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Association of Jewish Libraries
South Florida Chapter
Membership Form

Please print this form and send with a check for $15.00 to:

Heidi Estrin
Feldman Children's Library
Congregation B'nai Israel
2200 Yamato Road
Boca Raton, FL 33431
.

Make checks payable to the Association of Jewish Libraries.

Name:_____________________________________________
Home Address:_____________________________________________

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Home Phone: _____________________________________________
Home Fax:_____________________________________________
E-mail:_____________________________________________
Place of Employment:_____________________________________________

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Job Title:_____________________________________________
Work Address:_____________________________________________

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Work Phone:_____________________________________________
Work Fax:_____________________________________________
Web Site URL:_____________________________________________


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This page created and maintained by Heidi Estrin, heidi@cbiboca.org. Last updated July 19, 2001.