Collections and Services

N.J. State Employee and TESC Staff
Borrower Registration Form

To sign up for a borrower's card, please provide the following information.
We will contact you via e-mail when your account has been created, and will send
your card to you in the mail.

*Name:

*Title:

* Status (select one):

Full-time

Temporary

* Department:

P.O. Box #:

* Division:

* Street Address:

* City, State, Zip:

* Telephone #:

* E-mail Address:

Who is authorized to borrow in your name?

* Home Address:

*Home City, State, Zip:

* Home Telephone #:

Statement of Responsibility:

I agree to be responsible for all materials charged to this card with or without my consent; to observe all library rules; to pay promptly all charges; and to notify the Library of any changes to this information.

Yes, I agree. Your application is being processed.

* indicates a required field

New Jersey State Library

N.J. State Employee and TESC Staff Borrower Registration Form

N.J. State Employee and TESC Staff
Borrower Registration Form