The path to your current location in our website is:

TESC Mentor Borrower Registration Form

Library card registration

To sign up for a borrower's card, please provide the following information. We will contact you via e-mail when your account has been created, and will send your card to you in the mail.

Name - first: *

Name - last: *

Street Address: *

City: *

State: *

Zip: *

Telephone (home): *

TESC Department: *

TESC Mentor ID: *

E-mail: *

Statement of Responsibility: *

Yes, I agree to the statement below

I agree to be responsible for all materials borrowed on this card; to observe all library rules; to pay promptly all charges; and to notify the Library of any changes to this information.

I would like to receive news about State Library programs and resources via e-mail: *

Yes

The State Library Information Center will not share your personal information with any third-party entities.

By submitting this form, you accept the Mollom privacy policy.

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The path to your current location in our website is:

TESC Mentor Borrower Registration Form

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