RLML Affiliates Program

Membership Application
Library Information
______
IU School of Medicine Alumni
($150.00)
______
Indiana Healthcare Professionals
($200.00)
______
Indiana Residents and Others
($250.00)

This fee covers individual use only and does not provide a license to sell or give RLML database access to others.  After payment is received, members will be sent the userid and password. Access will expire after a years time.
Affiliates Program

(Please Print or Type) 

Name: _______________________________________________
IUSM Alumni graduation or residency completion year:  ________
Job Title: ________________________________________________
Address: ________________________________________________________
________________________________________________________
________________________________________________________
Daytime Phone: _________________________
Fax: (If Available) __________________________

E-mail Address: ____________________________________

Preferred Password: __________________________________
 
User Agreement

The Ruth Lilly Medical Library (RLML), Indiana University School of Medicine grants you a personal, nontransferrable right to access the information on this site for your own use.  By signing this agreement, you agree not to divulge your IUPUI user name and password to others, and agree that this service is for your individual use or your use as a representative of Indiana University.

Your right to access the information on the site is on an "as is", "as available" basis, and without warranty of any kind, either expressed or implied.  Furthermore, RLML shall not be liable for any damages, either directly or indirectly arising out of the use of this site.  Decisions based on information contained in this site are the sole responsibility of the user.

________________________________________________________
Name                                                                 Date

Windows to Knowledge


Make checks or money orders payable to: “Ruth Lilly Medical Library”

Send completed application and payment to:
RLML Affiliates
Ruth Lilly Medical Library
975 West Walnut Street IB RM 310
Indianapolis, IN 46202-5121
Completed application with payment may also be left at the Circulation Desk on the first floor of the Library.
Questions?  Contact the Reference Desk at (317) 274-7185 or rlml-aaf@iupui.edu.

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Copyright 2002, Indiana University Board of Trustees.
Information Policies - Technology Policies

File Modified: Friday December 13 2002