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Application for a Borrower's Card

Please fill out and print this form, and bring it to the Circulation Desk.


User ID (leave blank; staff will fill in):

BTI School ID Number:

Last name:
First name:

Local Street Address:
City: State: Zip:

Permanent Address:
City: State: Zip:

Daytime Phone:
Home Phone:
Fax Number (if available):
E-mail Address:

User Category (please check one):
EDS: Faculty Staff Student Alum Field Ed
Library Staff Partner
Other: Religious BTI Faculty BTI Staff BTI Student
Visiting Scholar Paid Subscriber Temporary Trustee

School Affiliation (please check one):
ANTS BC BU EDS GC Harvard FAS HC
HDS Library Pope John XXIII St. John's


99 Brattle Street Cambridge, MA 02138 - 2402 | 617.349.3602 | FAX: 617.349.3603
Coypyright (c) 2003-2005 | Last Updated: 12/29/05 | Comments: Webweavers