Libris Subscription Request

*Category :          
 
*Name of Institution, or name of individual :          
 
*Name of Library Contact (if applicable) :          
 
Phone :          
 
*E-mail address :          
 
*Name of person to whom the invoice should be sent :
 
Department :          
 
*Street Address :          
 
*City :          
 
*Province or State :          
 
*Postal or ZIP Code :          
 
*Country :          
 
Authenticate users from these IP numbers or ranges :
 
 
       



Please review and submit this form, or if communicating by mail or fax, print a copy of the form and mail or fax it to:

Reference Press, 7 Wragge Street,
Teeswater, ON CANADA N0G 2S0
Phone/Fax: 519-392-6634

As soon as the form has been received and processed, you will be contacted by electronic mail to confirm logon arrangements. Once access has been established, you will be invoiced by Reference Press.