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This document is an application for borrowing privileges from the University of Minnesota Libraries. It provides information on the rates for individual and organizational borrowers, which vary based on the level of yearly contribution to the Friends of the Library. Borrowers must agree to library regulations including returning items on time and not reselling library materials. It requests contact information, payment details, and signatures to obtain a borrowing privileges card.

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Eric C
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56 views1 page

Borrapp Friend

This document is an application for borrowing privileges from the University of Minnesota Libraries. It provides information on the rates for individual and organizational borrowers, which vary based on the level of yearly contribution to the Friends of the Library. Borrowers must agree to library regulations including returning items on time and not reselling library materials. It requests contact information, payment details, and signatures to obtain a borrowing privileges card.

Uploaded by

Eric C
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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No.

: _____________________________
1
Expires: __________________________
University of Minnesota Libraries – Twin Cities
Created by: _______________________
Application for Borrowing Privileges
Friends of the Library UM05 LIBR LMCF__________________

Borrowing Privileges are available to those who contribute yearly to the Friends of the Library. Rates vary by type of
borrower. Individuals may contribute $80 or more (Minnesota Alumni Association members may contribute $40 or
more). Organizations may contribute $250 or more (Non-profit organizations may contribute $80 or more).

Individual Borrowers - PLEASE PRINT LEGIBLY


Last Name First Name M.I.

Street Address

City State Zip Phone

Email Address

Alumni No. (MAA Members) Exp. Date

Organizational Borrowers - PLEASE PRINT LEGIBLY


Organization Name

Street Address

City State Zip Phone

Organizational Cardholder: A cardholder shall be appointed for the organization. This individual will be responsible for
making the card accessible to employees and will serve as a library contact regarding overdue fees and unreturned materials.
Last Name First Name M.I.

Email Address

Payment Information [ F Check payment $ _____________ ]


Contributions can be made by check or by credit card. Checks should be made out to the U of M Foundation. To
donate by credit card, fill in the information below. Your contribution is fully tax-deductible.
Name (As Shown on Card)

Account No. Expiration Date

Credit Card Type: American Express Discover Mastercard Visa

Please charge my credit card for the amount of: $40 $80 $250 Other $ _____________
Signature Today’s Date

Statement of Agreement

I agree to observe the University of Minnesota Libraries’ regulations and to return or renew all items on or before the due
date or to return them immediately if recalled by the Libraries. Failure to do so will result in my being billed for library fines
and lost books and may cause my borrowing privileges to be blocked or revoked. Legal action may be taken for unreturned
materials.
I agree not to make library materials (books or photocopies) or electronic databases available to third parties through direct
resale, without written permission from the University Librarian. Doing so will result in immediate revocation of borrowing
privileges.
Cardholder Signature

Name (Printed)

Signature of Owner, President or Director of Organization (Organizational Borrowers Only)

Name (Printed)

Return completed application to: Borrowing Privileges & Fines, 110 Wilson Library, 309 19th Avenue South, Minneapolis, MN
55455 or Fax to 612.626.8968. Questions may be directed to Matt Bowers, Department Head at 612.626.8635.

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