Application for NGO Service Providers Library Membership

Please fill out the fields below and press submit to acknowledge your compliance with our requirements and lodge your application. Note that library membership is available only to Australian service providers.

Alternatively you can print and return the completed, signed and dated form to:
Library, Australian Institute of Family Studies, Level 20, 485 LaTrobe Street, Melbourne, Vic 3000. OR Fax: (03) 9214 7952

Title:           If 'other' please state  
 
First Name:
 
Surname:
 
Position:
 
Organisation:
 
Address:
 
City/suburb:
 
State:           Postcode:
 
Telephone:                Fax:  
 
Mobile:
 
Email:
 

I work as a service provider for a non-profit agency.

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