eBook Program – Library Information Form

Please use this form to submit the necessary information to activate your library.

This form is for standalone libraries.  If you represent a group of libraries, please contact steve@masslibsystem.org for instructions.

    Organization Information

    Organization Name:
    Library Type:
    URL:

    Authentication Information

    ILS (Name and Version):
    Remote Authentication Preference:
    IP Ranges:











    EZProxy IP:
    SIP2 Address
    SIP2 Test Barcode
    SIP2 Test PIN
    SIP2 Test Barcode - Blocked
    SIP2 Test PIN - Blocked
    SIP2 Test - Reason for Block
    Other Relevant Information:

    Primary Contact Information

    First Name:
    Last Name:
    Title:
    Email:
    Phone:
    Street Address (Mailing):

    City:
    State:
    ZIP Code: