ICLC Member Registration Form

Family Name:
Given Name:
Middle Name:
Chinese Name:
Position Title:
Department (eg Catalog Dept):
Library Name:
Institution (eg Indiana Univ):
Street Address:
City:
State/Province:
Zip Code/Postal Code:
Country:
Phone Number:
Fax Number:
Email Address:
URL Address:



Research Interest:
Volunteer Area:
Suggestions: