Network Member Application and Agreement (2011-2016)

Network Member Application and Agreement Form

 
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Welcome to the Network Member Application and Agreement Process!

At this point, you should now be familiar with the benefits and responsibilities of membership with the National Network of Libraries of Medicine MidContinental Region. You should also be familiar with the two categories of membership, Full and Affiliate, and which category best fits your institution.

Review benefits, responsibilities, and membership categories

This form should take you less than 5 minutes to fill out.

If you have any questions regarding this application and agreement process now, please contact your NN/LM MCR State Coordinator or call by telephone (800) 338-7657.

Please provide us with the following contact information in case we need to contact you regarding your application and agreement.
I am applying for: (please select one)

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