Colorado Bar Association Lending Library Checkout Form And Agreement printable pdf download

Colorado Bar Association Lending Library Checkout Form And Agreement

COLORADO BAR ASSOCIATION LENDING LIBRARY

CHECKOUT FORM AND AGREEMENT

Check Out Date

Due Date

TITLE(S) OF MATERIALS:

______________________________________________________________________________

Borrower's Name:_______________________________________________________________

Firm Name:____________________________________________________________________

Street Address:_________________________________________________________________

City, State, Zip Code:_____________________________________________________________

Telephone No._______________________

E-Mail Address____________________________

Credit Card: _____VISA

_____MASTERCARD

Credit Card #______________________________________ Expiration Date _____________

The undersigned has read, understands and agrees to the terms of the Colorado Bar

Association Lending Library's Lending Policy, including the CBA's authority to charge Borrower's

credit card account, in the amount of the cost of the materials, for any borrowed book or other

resource not returned to CBA's offices by the due date, as indicated above. If the materials are

being shipped to me, I authorize the CBA to charge my credit card a $5 fee. I understand I am

providing credit card information as a requirement for borrowing materials from the Colorado

Bar Association Lending Library.

___________________________________________

(Borrower's signature)

CBA Membership No. _________________________

Colorado Bar Association Lending Library Checkout Form And Agreement