Institutions Membership Form

Become an Institution Member of the Open Library Foundation

By completing this form, you agree that you have had prior communication with the Foundation, and are ready to proceed with your payment.

First Name(Required)

Last Name(Required)

Email(Required)

Phone(Required)

Institution(Required)

Mailing Address:

Country(Required)

Street Address(Required)

Address Line 2

City(Required)

Region

ZIP / Postal Code(Required)

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Membership Fee:

Price:

I agree to pay $1000.00 to become an institution member of the Open Library Foundation. This is a one-time fee and needs to be renewed yearly to continue membership.

Membership Fee plus add-on gift:

Price:

I agree to pay $1,000.30 to become an institution member of the Open Library Foundation. This is a one-time fee and needs to be renewed yearly to continue membership.

Optional: Add an additional gift of 3% to cover our processing fees

Payment Information:

Total:

Credit Card(Required)

Card Details

Cardholder Name

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Today's Date

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Today's date + 1 year

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Today's date text

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Today's date + 1 year text

Comments

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