Borrower Registration Form (Print Form)
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Borrower Registration Form
Send to: National-Louis University Library/1000 Capitol Drive/Wheeling, IL 60090
Fax: 847-947-5110 Phone: 800-443-5522 x 5503 E-mail: libill@nl.edu
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| Today's Date: |
| *** Name*** | ***Academic Year Address*** |
| FIRST: | STREET: |
| MIDDLE: | CITY: |
| LAST: | STATE: ZIP: |
| PHONE: (home) | PHONE: (work) |
| NLU STUDENT ID: |
| DATE OF BIRTH: |
| STATUS (circle one): Undergraduate/On-Campus Undergraduate/Off-Campus Graduate Faculty Staff |
| E-MAIL ADDRESS: | FAX: (Optional)
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Library Use Only:
___Please contact the _________Campus library when this borrower has been registered. |
