Libero User Group Membership Form

Libero User Group membership form
Full Name*

First NameLast Name
Library Name*
Position at Library*
Contact Email Address*
example@example.com
Library email address*
example@example.com
Library Billing Address*

Street Address

Street Address Line 2

CityState

Post Code
Library phone number*
Format: (00) 00000000.
Your work phone number*
Please enter a valid phone number.Format: (00) 00000000.
Existing user group memberWould like to become a user group memberEnquiring only - I would like more information
1 - 10 licences ($320) (*$160)11 - 20 licences ($420) (*$210)21 - 30 licences ($520) (*$260)31 - 50 licences ($600) (*$300)Over 50 licences ($650) (*$325)
Please note : If you are unsure how many licences you have go to the “Configuration Dashboard” in Libero - Licencing - Licence Login Sessions - Licence Unit Count.
YesNo
If not the person above please provide their name

First NameLast Name
Additional Delegates (Special offer $160 for each additional delegate)

First NameLast Name
First NameLast Name
If you have further questions/notes
Should be Empty:

Libero User Group membership form