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Library Card Request Form


Use this form to request an Academic Library Card for Arizona Western College.

You must currently be enrolled as an AWC student, or a current AWC faculty or staff member to request materials to be delivered.


Fields with * next to them are required.

* Your Name (first, middle, last)
* Student ID #
* Birthdate
Gender (M/F)
* Your Email Address
* Telephone
Work Telephone
* Street Address or P.O. Box
* City, State, Zip Code
Occupation
Employer (or student and name of school)
Spouse's Name
I accept responsibility for lost or damaged materials and agree to pay replacement fees. I understand the delinquent accounts may be turned over to a collection agency.
 
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