Application for Library Subscription
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 noncompliance 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: ____________________________________________________________
THE SUBSCRIPTION RATE (READING PRIVILEGES ONLY!)
$300.00 for the fiscal year July 1 to June 30
Subscriptions may be purchased for the remaining quarter only!!
The following periods may be prorated.
After Oct 1 to Jun 30 -- $240.00
After Jan 1 to Jun 30 -- $160.00
After Apr 1 to Jun 30 -- $80.00
The fee is for the entire year or the remaining quarter. Subscriptions are NOT TRANSFERABLE.
Reading privileges defined:
The agreement provides for self-access only to the general printed portions of the collection. Reading privileges only access allows the user to enter the library for a specified period of time with permission to use the Library Catalog, Photocopiers and materials that are available in the general areas of the Library. Library materials cannot be borrowed.
Specifically excluded from this agreement are the use of the: Learning Resource Center, Interlibrary Loan, Group Study Rooms, Electronic Journals, Special Reserve materials and Reserve Materials.
Access to the Library is with the subscription ID card at the 395 Lenox Road Entrance ONLY. The subscription card must be visible on your person at all times.
A passport sized full head shot photograph of your self is required in order to complete the subscription application.
There is no food or drinks allowed in the library,
except in the designated eating area!
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 900401-01