APPLICATION FORM FOR FREE LIBRARY CARD APPLICANT
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APPLICATION FORM FOR FREE LIBRARY CARD APPLICANT: Ms Mr Name Address Zip code/ City Phone E-mail address Identification type & number Date of Birth REFERENCE (if applicable): Ms Mr Name Position Title E-mail address Phone MOTIVATION FOR REQUESTING FREE LIBRARY CARD: Date: You can complete this form using your computer. After you have completed the form, you have to save it and attach it to an e-mail. Send your request to: firstname.lastname@example.org. A library card costs € 20,- per year. With this library card you Review of this regulation is done in advance. A free library card can make use of the services of the Leiden University Libraries. will only be provided very exceptionally. You will receive the Further information can be found at www.library.leiden.edu. answer to your request as soon as possible through e-mail. Filling By fully completing this form you are requesting the Leiden Uni- out this form does not guarantee that your request will be granted! versity Libraries to provide you with a free library card. A free library card can only be granted if you provide a valid reason. Leiden University. The university to discover.