Name__________________________________________________ Mailing Address_______________________________________ ______________________________________________________ City____________________________State______Zip________ Library_______________________________________________ Phone_________________________________________________ Fax___________________________________________________ E-mail________________________________________________ PLG depends on the energy and ideas of its members and finds its direction, to a large extent, from them. Briefly state your areas of interest and what you would like to offer PLG as a participating member. ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ Do you wish to be included in the PLG directory? Yes______ No______ Would you like us to share your contact information with allied groups? Yes______ No______ Membership is open to library workers and users who are committed to the ideals of the political left, agree with PLG's Statement of Purpose (as stated on the web site), its commitments and present activities. Please sign here indicating that this describes you: X ____________________________________________________ (If you chose not to sign, this application can still be used for a subscription to the journal Progressive Librarian for the price of PLG membership.) PLG's membership dues are $20 for individuals, $10 for low income. Make your check out to Progressive Librarians Guild and mail it, along with this completed application, to this address: Progressive Librarians Guild Rider University Library 2083 Lawrenceville Rd. Lawrenceville, NJ 08648 revised 2/7/2006