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Application for Affiliate Membership / 2011-2016 Middle Atlantic Region

Membership Description:

  • Can be any library, information/resource center, or organization that is called upon for health information by its users

  • Public libraries are encouraged to join as Affiliate Members

  • Affiliate Members do not participate in DOCLINE, the interlibrary loan system

  • Affiliate Members may form a cooperative relationship with a Full Member for reference assistance or document delivery

NOTE: Fields marked with an asterisk (*) are required

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Designate an individual as your NN/LM Liaison who will be responsible for communication of MAR activities to your institution

NN/LM Liaison:

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Additional Contact Person (optional):

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 nnlmmar@pitt.edu