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Bennett D. Katz Library Card Request Form

First Name:
Last Name:
UMA Status:
If student, where do you take classes?
Address 1:
Address 2:
City:
State:
Zip Code:
Home Phone:
Work Phone:
How would you like to receive your UMA Library Card?
I have never had a UMS library card. I have lost my UMS library card and need a replacement. I have a UMS ID/library card. Please activate this number (Note: Be sure to enter the number printed in red below the bar code on your student ID card):

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