AkLA, NORTHERN CHAPTER 2003 MEMBERSHIP NAME__________________________________ MAILING ADDRESS_______________________ ________________________________________ E-MAIL ADDRESS_________________________ HOME PHONE____________________________ WORK PHONE____________________________ EMPLOYER______________________________ DUES $10.00 SEND TO JACK RASMUSSEN NOEL WIEN LIBRARY 1215 COWLES STREET FAIRBANKS, AK 99701 E-MAIL:jcrasmussen@gci.net