Organization Holding ILS Contract:
(contract holder) as defined in Polaris Users Group Bylaws, Article 3:  Membership                
Contact Name: 

Title:

Library:

Street Address 1:

Street Address 2:

City:

State:

Zip Code:

Phone:

Fax:

Email:

Web:

Technical Contact:
(if different than above)                                                                                        

Technical Contact Email:

Voting Representative:

Voting Representative Email:

Please email a list of all consortium members, branch libraries or units covered under your signed contract with address and phone number for each.  Email to rhelwig@flls.org. This information will be included in your annual Membership Directory listing.