The University of Arizona
The Arizona Health Sciences Library


Arizona Health Sciences Library Registration Form for AHSL Community Card
  • In order to be eligible for an AHSL Community Card, you must be a resident of Arizona
  • Arizona health professionals are given additional benefits if proof is provided
  • Please inquire if you are interested in a Corporate Card.
  • Community Card users are NOT eligible for Remote Access.
* Indicates this a required field
   
*

Your full name
     
*

Home address
   
*

Phone number
(include area code)

     
 

Work/business
address
   

Work/business phone number (include area code)

   
*

E-mail address

     
*

Please provide us with your current status:

Health Professional
Resident of Arizona
     
*

There is an annual fee of $60 for the AHSL Community Card.

Please indicate how you wish to pay.

I will call (520-626-4398) or fax (520-626-2831)with my Visa or MasterCard account name, number and expiration date. (This is not a secure site--do not send credit card numbers in this form)

I will mail my check with a printed copy of this form to the following address:

Information Services
1501 N. Campbell Avenue
P.O. Box 245079
Tucson, AZ 85724-5079

Please send me an invoice for $60.00.
 

Once payment is received, allow 1-2 days for processing your registration.
   

Loansome Doc

I am registered with Loansome Doc, the document delivery service sponsored by the National Library of Medicine.

Additional Comments:

By sending this AHS Community Card registration, I acknowledge responsibility for all library materials checked out on my card and for all Interlibrary Loan fees that I may incur.