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Alumni Library application form

Please print out this form and bring the completed form to the Library membership desk together with photo ID and a passport-sized photograph.Your library card will be valid for a calendar year.

Fees

  • £35 / year for Affiliate Level 3: reference
  • £70 / year for Affiliate Level 2: borrowing

New alumni joining in the summer after graduation (July to September) will receive a 10% discount on borrowing membership (£63).

Surname: Title:
Forename(s):

Address:

 

Telephone:
Email address:

(Library notices are only sent by email)

  • Reference (£35)
  • Borrowing (£70)
  • Borrowing with summer discount for new alumni (£63)

(please tick one)

Do you have a disability or particular need that means you require extra assistance in the Library? Yes/No

Would you like the Library to contact you to discuss this? Yes/No

I agree to abide by Library and Computing regulations.

Signature:

Date:

Library use only:

Barcode number: _ _ _ _ _ _ _ _ _ _

Till receipt number: _ _ _ _

Expiry date: _ _ / _ _ /_ _ _ _

User code: 002 / 004

Copy of form sent to Alumni Office _ (please tick)

 

 
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