Bluegrass Medical Libraries

 

 
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BLUEGRASS MEDICAL LIBRARIES

2005 Dues

Personal Membership

Name: _________________________________________________

Title: __________________________________________________

Organization: ____________________________________________

Address: _______________________________________________

              _______________________________________________

Phone: ___________________________ Extension: ________

Fax: ___________________________________________________

E-Mail: ________________________________________________

You will automatically be added to the BML listserv when your membership dues are received.  If you do NOT want to be on the listserv, please indicate here:     
          ____  Do not add me to the listserv.

Library URL: ___________________________________________

NOTE: Your membership implies agreement with all terms put forth in the BML Bylaws as amended January 2001.  Please note that Institutional Members agree to share materials with other Institutional Members at no cost; however, Institutional Members have no obligation to provide ILL service to Personal Members.    

Please complete this form and return it with a check for $10.00 (made payable to Bluegrass Medical Libraries) to:

Lesley Wolfgang-Jackson 
ILL/Document Delivery Supervisor
UK Medical Center Library
800 Rose Street 
Lexington, KY 40536
  Phone: 859-323-5234   Fax: 859-323-1040
  Email:  ldwolf0@email.uky.edu