HCCS Training &Development Library
(Please print. Fill in all blanks on this page.)
Name of Organization: ___________________________________________________________
Mailing Address: ________________________________________________________________
City:___________________________________ Zip: ________________________________
Number of Employees:_____ _____ Profit or_____ Non-Profit Organization
Member organizations designate a contact
person who assumes primary responsibility for all
company borrowing and is the person library staff
may contact about problems.Borrowing agreement:
This organization will be responsible for all
materials checked out by authorized borrowers and for
adherence to Training & Development Library
guidelines and copyright laws.
Name of Contact Person:__________________________________________________________
Signature of Contact Person:_______________________________________________________
Application must be signed before borrowing privileges may begin.
FAX:____________________________________ Phone: ______________________________
Mailing Address: ________________________________________________________________
City:_________________Zip:__________________e-mail:
______________________________
Consult the fee schedule on the next page
to determine your dues.
Make
checks payable to: HCCS Training & Development Library.
Mail to: Training
& Development Library
Houston Community College
1300 Holman
Houston,
TX 77004
Phone
(713) 718-6133
FAX
(713) 718-6154
(Please see the next page)
(For Library Use)
Date application
received:______________________ Amount of fee:______________Date paid:
_________________________
MEMBERSHIP FEES
TAX DEDUCTIBLE
Annual membership fees are on a sliding scale based on the number of employees.
| Number of employees | Profit Organization | Non-Profit Organization |
| 1 -99 | $400 | $300 |
| 100 - 499 | $500 | $350 |
| 500 - 599 | $625 | $500 |
| 1000+ | $725 | $600 |
Note: A 10% discount off the annual rate
is allowed for companies where HCCS has offered on-site programs
within the
past 12 months.
AUTHORIZED BORROWERS
Please print complete mailing
address if it is different from the contact person’s. The contact
person (listed on the other side of the application) and the first four
borrowers listed here will
receive newsletters and announcements. An
additional sheet may be used, but please try to keep
the number of
borrowers low.
Name:_____________________________________________ Phone:_____________________
Mailing address:_________________________________________________________________
Name:_____________________________________________ Phone:_____________________
Mailing address:_________________________________________________________________
Name:_____________________________________________ Phone:_____________________
Mailing address:_________________________________________________________________
Name:_____________________________________________ Phone:_____________________
Mailing address:_________________________________________________________________