Western Library Services Membership Application

Western Library Services
Membership Application

Important Notice!

This site and application form have been optimized for Microsoft Internet Explorer 5 and above. This application and the online ordering may not work with other web browsers, such as Netscape, Opera ect... Your browser must have it's cookies enabled, and also disable any popup or cookie blockers. This site does use cookies for session and ordering purposes only. Check with your local tech or system administrator if you are unsure of your system configuration.

Please double-check that your email address is correct. If it is not, your password will not be sent to you and any orders placed may be delayed.

Please fully complete the following form. Your password will be emailed to you.

Use this password when entering our online catalogue.

Fields with the ( * ) are required!

Name: *

Contact Name:

Phone Number:*

Fax Number:

Email Address:*

Address:*

City:*

Province:*

Country:*

Postal Code:*

Canadian Federal Employee: PST Exempt. PST #:

B.C. Provincial Employee: GST Exempt. GST #:

If you are claiming PST, GST Exemption status, you must include your PST and GST numbers.

All Customer information is kept confidential.

Western Library Services does not rent, sell, or share any information about our Customers or those who apply for membership.

Name: *
Contact Name:
Phone Number:*
Fax Number:
Email Address:*
Address:*
City:*
Province:*
Country:*
Postal Code:*
Canadian Federal Employee:	PST Exempt.	PST #:
B.C. Provincial Employee:	GST Exempt.	GST #: