Library membership form

Personal details

Title

DrMrMrsMsMissProf

Forename*

Surname*

Job title*

Directorate*

Work phone number/bleep number*

Work address/department*

Home address

Trust badge expiry date

Email details

Please note that if your complete this field your recall/overdue notices will be send by email not post.

Email address

Confirmation

I have read and agree to abide by the library rules and regulations*

Where did you hear about the library?

From a colleagueWelcome emailStaff Matters/Staff Brief/Staff BulletinOther

If 'other' please state: