The University of Arizona
The Arizona Health Sciences Library


 

Arizona Health Sciences Library Registration Form for AHSL Corporate Card
  • You must be a company or business in Arizona to be eligibile for an AHSL Corporate Card.
  • Corporate Card users are NOT eligible for Remote Access.
* Indicates this is a required field
     
*

Business Name
     
*

Business address
     
 

Contact Person
   

Work/business phone
(include area code)

   
*

E-mail address

     
*

Please provide the names of all the users for your corporate card
     
*

There is an annual fee of $500 for the AHSL Corporate Card for up to 10 users (add $50 per user over 10).

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 $500.00.
 

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 Corporate Card registration, I acknowledge responsibility for all library materials checked out on my card and for all Interlibrary Loan fees that I may incur.