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Firm/attorney Request for USMCARD

Cards may be issued to the firm as a unit or individuals in the firm. Cards issued to an individual may also be setup as a library card at the circulation desk upon request.

Today's Date: 
Name on Card : 
Firm Name:
Street Address
City: 
State: 
Zip Code:
Telephone:
E-Mail Address:


Terms of Agreement: The USM card is issued by the Campus Card Office for the charge of $3.00 due at the time activation. It is the individual or firm's responsibility to protect and maintain the card and its value.

I have read and agree to the conditions outlined above.

Comments: