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Application for a Library Subscription

The subscription rate, which is available for reading privileges only, is $300 and is only for those individuals who do not have a regular, current SUNY ID card.

I hereby apply for a Subscription to the Medical Research Library of Brooklyn and agree to comply fully with all rules and regulations governing the use of the Library. I understand that non- compliance with the rules may result in confiscation of the Subscription card and denial of library privileges without refund.

Name:_________________________________________________________________

Address:______________________________________________________________

Telephone:(home)________________________(work)___________________________

Occupation:___________________________________________________________

Institutional Affiliation:_________________________________________________

Subscriptions are issued annually for the period July 1 through June 30. The fee is for the fiscal year, or any part thereof and is NOT prorated. Subscriptions are NOT transferable.

Reading Priveleges defined:
The agreement provides for self-service only  to the general printed portions of the collection.  Reading privelege access allows the user to enter the Library for a specified period of time, use of the Online Public Access Catalog (OPAC) and the National Library of Medicine's PubMed database, print materials and photocopy services.  No materials may be borrowed.

Specifically excluded from this agreement are the use of:
Library's Learning Resources Center, 24-Hour Computer Room, searching computerized literature databases (except for the OPAC and PubMed), Internet access, email access, Interlibrary Loan Service and group study rooms.

Access is with the subscription card at the 395 Lenox Rd. Entrance ONLY. The subscription card must be visible on your person at all times.

A passport-sized full head-shot photograph is required in order to complete your subscription application.

I understand that by placing my signature below, I affirm that I have read the above information and agree to abide by all regulations.

Signature:________________________________________Date:_______________

Checks should be made payable to State University of New York IFR Acct. 900401.