/images/background-mem.gif">MEMBERSHIP RECORD


(, )

Card Number:
Postal Address: ,
Home Address: ,
Phone (Home):
Phone (Daytime):
Fax:
E-mail: ">
Text messaging:

Membership Number:
Membership Category:
Fee:$30/year, Paid
Joined: , Expires:
Joining Branch:

Ethnicity: ,
DoB:
Sex:

Alternative Contact:
Phone:
Relationship:
Notes:

Guarantees:
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Guarantor: ">
no guarantor

General Notes:

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/images/holder.gif" width=16 height=800 align=left>
/images/background-mem.gif" colspan=4>FINES & CHARGES
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>View Account >Pay Fines

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/images/background-mem.gif" colspan=6>ITEMS CURRENTLY ON ISSUE
/images/background-mem.gif">Title /images/background-mem.gif">Due /images/background-mem.gif">Itemtype /images/background-mem.gif">Charge /images/background-mem.gif">Renew
&bib=&bi="> ">On Request - no renewals " value=y>Y " value=n>N

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/images/background-mem.gif" colspan=5>ITEMS REQUESTED
/images/background-mem.gif">Title /images/background-mem.gif">Requested /images/background-mem.gif">Remove
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/images/cancel-requests.gif">


">Reading Record