OLC Institutional Membership Registration - Application

*denotes required field
Insitution:*
Contact Person:*
Address Line 1:*
Address Line 2:
City:*
State:*
Zip Code:*
Phone #:*
Fax #:*
Email Address:*

Payment Options:

(Public libraries are billed annually with the dues structure based on their PLF distribution. All other institutional members are billed annually for their dues at a flat rate of $250.)

Credit Card Type:|
Name on Card:*
Card #:*
Card Expire Date:*
CCV:*
For your records, would you like an email copy of this submission sent to:




Once you have completed the form, click Submit to register with the OLC. Next, you will be asked to confirm your submission before your registration is completed.