Application for NGO Service Providers Library Membership

Please see the AIFS privacy statement for information on what we do with the details you provide.

Please print and return the completed form to:
Library
Australian Institute of Family Studies
Level 20, 485 LaTrobe Street, Melbourne, Vic 3000
Fax: (03) 9214 7839


Title: (Ms, Mrs, Miss, Mr, Dr)

First Name:

Surname:

Position:

Organisation:

Address:

 

City/suburb:

State:                                                       Post Code:

Telephone: (   )                                      Fax: (   )

Mobile:

Email:

I am involved in the planning and delivery of services to children and families within disadvantaged Australian communities, working in a not-for-profit, non-government organisation in Australia.

I acknowledge that I have read the conditions for loan and agree to comply with these conditions, including payment for damaged or lost items.