​Membership Application

 

Join LYRASIS

Thank you for making the decision to join LYRASIS


Establishing a LYRASIS Membership is easy. Provide the information requested below. A member of the LYRASIS staff will be in touch to finalize your membership, and you will be on your way to enjoying LYRASIS member benefits and services. Questions can be directed to membersupport@lyrasis.org.

Tell us about your Library/Institution.

Contact Information:

Institution Name (as you want it to appear in our records): *      
Name of person completing this application: *


Mailing Address:

Address: *
Address 2:
City: *
State: *
Zip: *
Country:
Phone: *
Fax:
Web address:

Billing/Shipping Address (if different):

Address 1:
Address 2:
City:
State:
Zip:
Country:
Phone:
Fax:


Leadership Level
The Leadership level, that will give members an all new level of participation through our Leaders' Forums.
This tier includes all the governance and services benefits of the other tiers, but also an automatic invitation to the Leaders' Forums where you can collaborate, in-person, with influencers, thought leaders and innovators just like you. The dues for this new tier are $2500.

This covers your full membership fee and is not in addition to your dues. We want your voice at our Leaders' Forums and beyond. If you'd like to learn more about the Leadership tier , please contact membersupport@lyrasis.org

Click here if you would like to join at the Leadership Tier


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


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

For corporate/special libraries and other cultural organizations:
Number of employees

Director of Library/Institution:

Name: * Phone: *
Title: * Email: *

Person to be designated as LYRASIS Primary Billing Contact: What is this?
Check this box if LYRASIS Primary Billing Contact and Director of Library/Institution are the same.

Name: * Phone: *
Title: * Email: *

Person to be designated as LYRASIS Primary Order Contact: What is this?
Check this box if LYRASIS Primary Order Contact and Director of Library/Institution are the same.

Name: * Phone: *
Title: * Email: *

Person to be designated as LYRASIS Voting Representative: What is this?
Check this box if LYRASIS Voting Representative and Director of Library/Institution are the same.

Name: * Phone: *
Title: * Email: *