* Organization Name:

Library Name (if different from organization name):

* Type of Library:
 Special Law Medical Institutional Corporate Other
If other, please describe:

Does your library:
* Have an organized collection?
 yes no
* Have established and posted hours of service?
 yes no
* Have an on-site paid librarian-in-charge?
 yes no
* Have a written mission statement or subscribe to your organization's mission statement?
 yes no
* A budget?
 yes no
* Authorization from an appropriate administrative authority to participate in MLS activities?
 yes no
* Agree to the terms and conditions of the Massachusetts Library System membership agreement as established by the Board of Library Commissioners (see:http://www.masslibsystem.org/about/mls-membership/)?
 yes no
* Library email:

* Library Website:

* Library Phone:

Library Fax:

* Address 1:

Address 2:

* City / Town:

* Zip code:

Mailing Address (if different from above):

Address 2:

City/Town:

Zip code:

Library Hours:

* Primary Contact at Library:

* Contact person's email:

Home phone (unpublished - emergency use only)

Library catalog URL:
Network affiliation (if applicable):
* You will be subscribed to MLS-Announcements. Please indicate the email address(es) to be subscribed. Subscribe email address(es):