Name:_________________________________________________________________

Position: _______________________________________________________________

Home Address:__________________________________________________________

School Address: _________________________________________________________

Home Phone: ____________________ Business Phone: ____________________

Fax: ___________________________ E-mail: ____________________________

Please mail SSLI material to _____home address; _____business address

Type of Membership:

First time member (professional member joining for first time, first year only)     $25.00

Regular Member Renewal (any full-time, employed professional)                       $45.00

Retired or student member                                                                               $25.00

Corporate Member (representative from Vendor Community)                           $75.00

Life Membership                                                                                             $400.00

As a friend of SSLI, I wish to donate                                                               $______

I am interested in an appointment to the following committee(s):
_____Membership;     _____Annual Conference;      _____ Book Awards;      _____Publicity

Please make check payable to "SSLI" and send to:

Jeannie Schwartz, Executive Director
SSLI
19 Savage Street
Charleston, SC 29401
Phone: (843) 577-5351