LAMP: Registration Form 2011/12
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| Name | Title | |
| Address (this must be your registered College address and will be used for all deliveries) . Postcode: |
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| Telephone Home | Work/mobile | |
| Fax number | ||
| Do you have access to the Internet? Yes No (delete as appropriate) | ||
| Email address (if you provide an email address it will be added to your Library record and used for all Library notices) |
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| What is your preferred method of contact? | ||
| Course | ||
| School | ||
| Year of Study 1 2 3 Final (circle one) | ||
| Date of completion of course | ||
| Library barcode number | ||
Please select user group:
SUBSCRIBER
(The minimum initial subscription fee is £15, which will enable you to place up to 3 requests. You can top up your LAMP account at any time in units of £5, on a ‘pay-as-you-go’ basis. Each £5 entitles you to place one request. Alternatively, you may choose to pay for more than 3 requests in advance when you first register with LAMP, up to a maximum of £100 for 20 requests. Your credits will be valid until the last date of your course. Please note that unused credit cannot be refunded.)
„ £15 for up to 3 requests / „ £___ for ___ requests (at £5 each)
DISTANCE LEARNER (OFFICIAL DISTANCE OR NETWORK LEARNERS ONLY)
(There is no minimum fee as books held in stock at Birkbeck Library will be sent free of charge. Articles, book chapters and any other books will be charged at £1 each.You can top up your LAMP account in units of £1 at any time on a ‘pay-as-you-go’ basis. Your credits will be valid until the last date of your course. Please note that unused credit cannot be refunded.)
„ £___ for ___ requests (at £1 each)
Signed _________________________________ Date______________
Please return this form by post to: LAMP, Birkbeck Library, Malet Street, London WC1E 7HX, fax it to: 020 7631 6066 or scan it and send it as an email attachment to lamp-library@bbk.ac.uk. Charges will be added to your Library record. Please call the Library Issue Desk on 020 7631 6239 or contact the Document Delivery Team on 020 7631 6363 to make your payment by credit or debit card.
The details you submit on this form will be used for library purposes only. College Data Protection Statement
