Name

Email Address

ALIA Member No. (if member)

Are you currently employed in the LIS sector? Are you currently employed in the LIS sector?YesNo

Employer Name

Current Position

Why do you want to join this group?

I commit to do the following as a member of ALIA WALT Group: I commit to do the following as a member of ALIA WALT Group: To be active in the life of the group To share, support, learn together and build others up