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Your Institution ...

Name of Institution

Type of Institution
College/University
Seminary
High School
Public Library
Synagogue
Church
Non-profit Organization

Serial collections Librarian or Librarian's name.
Your Name
Prefix First Last Suffix
Street Address
Library or Department Name

City/State or Province/Postal Code
City State or Province Postal Code
Phone Number
Fax Number
Email Address

Send invoices to my attention at the address above.
Send invoices to subscription service or institution billing department.
Subscription Service
Service Name Reference ID
Name
Prefix First Last Suffix
Street Address


City/State or Province/Postal Code
City State or Province Postal Code
Phone Number
Fax Number
Email Address

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