IAC Library Alliance Discount Card Request
Welcome the application to request your IAC Library Alliance Discount Card. On behalf of all of our staff, we look forward to serving you! If you have any questions, please call the Central Circulation Desk: 407-512-0638.
First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Telephone Number *
In case our staff has any questions for you.
Your answer
Electronic Correspondence *
If approved, we will need your e-mail so we send you the necessary enrollment documents.
Your answer
Are you interested in any of the following:
Please choose all that apply.
Please include any questions you may have for our staff.
Your answer
Member Referral *
How did you find out about the IAC Library Alliance?
Your answer
Events & Information E-Mail List * *
We invite you to sign up and receive e-mails regarding creation adventures, events, and other exciting information.
IAC Library Alliance Discount Card Request Agreement. *
By submitting this application, I agree to allow IAC staff to contact me if necessitated by my submission. Additionally, I agree that my application will be reviewed by IAC staff for approval and my details kept on record.
Required
Cardholder Agreement Terms & Conditions *
I hereby agree to uphold, and fully understand, the following terms and conditions: As a cardholder of the IAC Library Alliance Discount Card I understand that it is my duty to pay the $19.95/year due in-full at time of card activation. I also understand that my card must be renewed annually to continue being in good standing with IAC Library Alliance Member Branch Locations. The IAC Library Discount Card provides discounts to Member Branch Locations throughout the IAC Library Alliance. I further understand that my IAC Library Discount Card is property of The International Association for Creation.
Required
Electronic Signature *
Below, please type your full name, as it appears on your driver's license or government-issued identification card. This will serve as your signature, certifying that, under the penalty of perjury, the above is accurate and true.
Your answer
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