Affiliate Membership Renewal Form

2006-2011 Middle Atlantic Region

Thanks for taking the time to renew your membership in the NN/LM Middle Atlantic Region.  Follow these quick and easy steps to submit your renewal.

Step 1:  Take a moment to read the mission of the National Network of Libraries of Medicine (NN/LM) and the responsibilities of membership.

Mission
The mission of the NN/LM is to advance the progress of medicine and improve the public health by:

1. providing all U.S. health professionals with equal access to biomedical information; and,
2. improving the public's access to information to enable them to make informed decisions about their health.

The Program is coordinated by the National Library of Medicine and carried out through a nationwide network of health science libraries and information centers.

This level of membership is open to libraries or information resource centers that are called upon for health information by their users, but which do not meet all the criteria for Full Member participation. An Affiliate Member might form a cooperative relationship with a Member, for example, for reference assistance or document delivery.

Step 2:  Please fill-in the following member institution information.

Library Name:

Institution Name:

Mailing Address:

City: State: Zip:

Affiliate Member Contact:

e-mail:

Phone:

Step Three:  Provide the information required for your membership certificate.

Please provide your institution’s information as you would like for it to appear on your certificate.

Please provide up to four lines of text. Each line can be a maximum of 35 characters (including spaces) long. This usually is some combination of the name of the library and/or your institution. Enter the name of your library and/or institution only: do not enter your address.

Step Four:  Submit your renewal application.
By pressing the "submit" button below, you acknowledge that you are authorized on behalf of your institution to request membership with the National Network of Libraries of Medicine and that your institution agrees to meet the responsibilities of membership in the National Network of Libraries of Medicine. 

After clicking submit, please wait to see a confirmation page for your submission.
If you have any question regarding this form, please contact the Middle Atlantic Regional Medical Library
by phone at (800) 338-7657