Membership Information Update Form

Thank you for helping us keep our membership information up-to-date! Simply fill out this form and press the SUBMIT button. Or print it out and fax it to HRLC at 973-664-1780. Other than the library name, you only need to fill in the fields that have changed. PLEASE DO NOT USE THIS FORM TO ADD MISC. STAFF MEMBERS! Contact information should only be for the person in charge of the library.

Library Name (Required):

School District (if applicable):

Librarian's Name:

Title:

Address:

City:

Zip Code:

Phone #:

Fax #:

E-mail Address:

Library Webpage address:

Are you the Voting Representative for your library or school district?: (if applicable)

Does your library provide Wireless Interenet Access (Wi-Fi)?: