Partner Enrollment

Signup For Your Complete Materials Solution (All fields are required)

Please fill out the form below and submit that to our team. All fields are required. If you prefer to print off a form and send that in, please download the Complete Materials Solution document.

Library / Organization Info:

Library or Organization Name:

Physical Address

Street 1

City:

State:

Zip Code:

Country

Use Physical Address For Mailing Address

Mailing Address

Street 1

City:

State:

Zip Code:

Country

Primary Account Contact:

First Name:

Last Name:

Title / Position:

Email:

Phone Number:

Benefit Statement Recipients

Designated Benefit Statement recipients will receive detailed monthly reports in an emailed PDF format. Your monthly Benefit Statement will be sent to any email address you include in this section:

Add recipient

Remove

Logistics Details:

Do you have:

A loading dock? Yes No

Storage space to accumulate materials? Yes No

Loading Equipment? (check all that apply)
Pallet Jack Forklift

Additional Notes:

E-Signature:

Completed by:

Date completed: 2013-05-18

Enroll

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