Thank you for making the decision to join LYRASIS

Establishing a LYRASIS Membership is easy. Provide the information requested below. A member of the LYRASIS staff will be in touch to finalize your membership, and you will be on your way to enjoying LYRASIS member benefits and services. Questions can be directed to [email protected].

Tell us about your Library/Institution.

Contact Information:

Institution Name (as you want it to appear in our records): *

Name of person completing this application: *

Mailing Address:
Address: *
Address 2:
City: *
State: *
Zip: *
Country:
Phone: *
Fax:
Web address:
Billing/Shipping Address (if different):
Address 1:
Address 2:
City:
State:
Zip:
Country:
Phone:
Fax:

Leadership Level
The Leadership level, that will give members an all new level of participation through our Leaders' Forums.
This tier includes all the governance and services benefits of the other tiers, but also an automatic invitation to the Leaders' Forums where you can collaborate, in-person, with influencers, thought leaders and innovators just like you. The dues for this new tier are $2500.

This covers your full membership fee and is not in addition to your dues. We want your voice at our Leaders' Forums and beyond. If you'd like to learn more about the Leadership tier , please contact [email protected]
Click here if you would like to join at the Leadership Tier

Tax Status:
Is your Library/Institution exempt from payment of Federal, state, and/or local sales/use taxes?

Yes

No

Library/Institution Structure:

Annual operating budget *

For academic and school libraries:

Number of FTEs your library serves

For public libraries:

Size of population your library serves

For corporate/special libraries and other cultural organizations:

Number of employees

Director of Library / Institution:

Name: *
Phone: *
Job Title: *
Email: *

Person to be designated as LYRASIS Primary Billing Contact:   
Check this box if LYRASIS Primary Billing Contact and Director of Library/Institution are the same.

Name: *
Phone: *
Job Title: *
Email: *

Person to be designated as LYRASIS Primary Order Contact:   
Check this box if LYRASIS Primary Order Contact and Director of Library/Institution are the same.

Name: *
Phone: *
Job Title: *
Email: *

Person to be designated as LYRASIS Voting Representative:   
Check this box if LYRASIS Voting Representative and Director of Library/Institution are the same.

Name: *
Phone: *
Job Title: *
Email: *