Medical Library Association | MLA Sections : Member List Request Form

STEP ONE: Contact Information. ALL FIELDS are required.

List request is for:

Section Chapter

Name of section or chapter:

Your name:

What office do you hold?

Your email address

STEP 2: Purpose of the List.

Purpose of list (give us an idea of how you plan on using the list):

AHIP listing in my chapter region
Ballot / election announcement
Email list (e.g., to refresh your listserv with current members)
General membership contact
Lapsed (non-renewed) member contact
Meeting promotion
Membership list
MLA members in my chapter region
New member welcome contact (see our Q&A on this topic)
Newsletter mailing
Other (describe below):

Membership Year

Include CURRENT members (2013 members only)
Include CURRENT and PREVIOUS years' members (2012–2013 included)
Include CURRENT and PREVIOUS TWO years' members (2011-2013 included)
Include PREVIOUS year's members (2012 only)
Include current AHIP members only (includes previous 6 months also)
Include current AND expired AHIP members
Other (please describe what you need below):

STEP 3: List Arrangement and Layout.

Sort Information

By JOINDATE (most recent joins first) [useful to contact new members; default selection]
Alphabetically by last name [best if you are comparing lists or searching for people]
By Academy expiration [useful if you are reminding folks to renew]
Other sort combination (please describe below):

List Format and Delivery

Excel File - all member information
(directory information, mailing information, plus expiration data and joindate; arrives as a Microsoft Excel file; see sample screenshot)

Lists are no linger available on label stock and are provided as Excel files only

Other Instructions:
Include any other information or instructions that will help us provide the list to you.

If you need this list to be directed to a different or additional email address, provided by a specific date, or have a question about how best to receive your list for a specified purpose, please include your question or information here.