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Online Library membership application
Please fill in the details below to apply for membership of the Löhe Memorial Library.
Name:
Email address:
Address Line 1:
Address Line 2:
Town/Suburb:
State:
Postcode:
Home Phone:
Work/Mobile Phone:
I am a student at:
(mark appropriate boxes if applicable)
Australian Lutheran College (ALC) internal.
Burleigh College
ALC(Flexible Education)
Tabor College
ALC(Lutheran Strand)
Other University:
Adelaide College of Divinity
Other Institution:
Australian Catholic University
Bible College of SA
My course of study is:
(course name)
Pensioner/Concession
Private Study
I am a theological college staff member at:
I work for
(organisation/business name)
:
Please register me as an approved borrower of the Löhe Memorial Library. By submitting this form I agree
To comply with the conditions of membership of Löhe Memorial Library
To pay any charges incurred for any overdue, lost, damaged or unreturned items issued on my membership card
To notify the Library of any changes to this information
To obey copyright law In giving my email address I give consent to receive notices by email. By submitting this form I am declaring that I have read the declaration above and agree to comply with the conditions of membership of the Löhe Memorial Library.
