Associate Membership Form (Library)
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First Name *
Surname *
Middle Name (Optional)
Telephone *
Email *
Address
Purpose *
Referee Name *
Referee Email Address *
Mode of Payment *
Required
NOTE: By filling this form, you acknowledge and agree that LBS Library may collect, retain, or
disclose the information or any information for the effectiveness of library services, and the
collected, retained or disclosed information shall comply with Nigeria Data Protection
Regulation,2019. *
Required
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