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Institution Name: *
Mailing Address: *
Zip Code: *
Library Type: *
Other / Not a Library (see below)
If Other / Not a Library, describe:
Designate an individual as your NN/LM Liaison who will be responsible for communication of MAR activities to your institution.
Additional Contact Person (optional):
After submitting this form, you will be contacted by NN/LM Middle Atlantic Region (MAR).
If you have any questions regarding this form, please contact MAR at (800) 338-7657 or email@example.com.
NN/LM Middle Atlantic Region
University of Pittsburgh
Health Sciences Library System
3550 Terrace Street, 200 Scaife Hall
Pittsburgh, PA 15261
Fax: (412) 624-1515
Funded by the National Library of Medicine under a contract #HHS-N-276-2011-00003-C with University of Pittsburgh