________________________________________________________________________________
Library Site

________________________________________________________________________________
Address

________________________________________________________________________________
City, State, Zipcode                                                                                 Fax

________________________________________________________________________________
Library Contact Name                                                                              Title

________________________________________________________________________________
Phone with extension                          Summer phone (for schools)                            Email

________________________________________________________________________________
Technical Contact Name                                                                         Title

________________________________________________________________________________
Phone with extension                        Summer phone (for schools)              Email

________________________________________________________________________________
BILL TO: (If different from above)

________________________________________________________________________________
Address

________________________________________________________________________________
City, State, Zipcode Fax

________________________________________________________________________________
Billing Contact Name                                                               Phone

Does your library access the Internet through
o a modem/individual dial-up connection
o a network: Provide your IP address or range _________________________________________________________

My library will provide FULL TEXT access to:
____ staff only                              estimated number of terminals/pc's: _________
____ library users (in library)            estimated number of terminals/pc's: _________
____ library users with authentication (remote access)

In order to participate in the LibraryLinkNJ FULL TEXT project, you must agree to comply with these State Library and vendor requirements: 

1) Any brochures, flyers, press releases, homepage announcements, etc. publicizing full text database access shall indicate that this service was partially funded by LibraryLinkNJ, a state tax funded service of the New Jersey Library Cooperative.

2) You are authorized to provide access to many full text databases onsite to your staff and walk-in users, and to your patrons offsite through remote access, provided that procedures are undertaken to authenticate library users and prevent access by individuals or institutions that are not parties to this license agreement.

The _____________________________________________ agrees to the conditions outlined above.
                                    Name of Library

________________________________________________________________________________
Signature, Title                                 Date