U-M Library Card Request
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Name:
Address:
Phone:
E-mail:
E-number:
□ Student
□ Staff
I agree to adhere to the guest borrowing policies and procedures as offered by the University of
Michigan Library and to pay any fees that may be incurred as a guest borrower.
Applicant Signature
Date
The person listed above is a currently-enrolled Eastern Michigan University student or
Currently a regular Eastern Michigan University staff member and is in good standing with
Eastern Michigan University.
Please issue a University of Michigan Library card valid for the current term.
Thank you,
Supervisor, Circulation Services
Eastern Michigan University Library
Date