Membership Application

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Thank you for making the decision to join LYRASIS!

Establishing a LYRASIS Membership is easy!

1. Complete this Institutional Membership Application.
2. A copy of the LYRASIS Membership Agreement and an initial invoice for the annual member dues will be sent to you for signature and payment.
3. Email your signed Membership Agreement as soon as possible, and you will be on your way to enjoying LYRASIS membership benefits and services!

Date of Application:

Tell us about your Library/Institution.

Contact Information:

Library/Institution (name as you want it to appear in our member database:

Mailing Address:

Address:
City:
State:
Zip:
Country:
Phone:
Fax:

Billing/Shipping Address (if different):

Address:
City:
State:
Zip:
Country:
Phone:
Fax:
Web address:

Tax Status:
Is your Library/Institution exempt from payment of Federal, state, and/or local sales/use taxes?

Yes
No

If yes, you must email a valid sales/use tax exemption certificate to membership@lyrasis.org.

Library/Institution Structure:

Annual operating budget (click here for definition)
For academic and school libraries: Number of FTEs your library serves
For public libraries: Size of population your library serves (Number of cardholders)
For corporate/special libraries: Number of employees
What local library system does your Library/Institution use:
Library Type:

Director of Library/Institution:


Name:
Title:
Email:
Phone:
Fax:

Person to be designated as LYRASIS Billing Contact:


Name:
Title:
Email:
Phone:
Fax:

Person to be designated as LYRASIS Voting Representative:


Name:
Title:
Email:
Phone:
Fax: