Lending Library
AGREEMENT FORM
The NENA-TX Chapter agrees to loan the following materials: __________________________________________________________________ to _____________________________________, a member in good standing on this day ___________________________ and to be returned to NENA-TX by the date _____________________________.
NENA-TX Chapter will pay for the expense of sending the material and said member will pay for the return, which includes sending by registered mail and insured for $_______________. If the member loses or destroys the tape, the member agrees to pay NENA-TX $_______________.
I understand and agree to the above conditions.
Member Signature:_________________________________ Date:___________
(Please Print)
Member Name:____________________________________
Address: _________________________________________________________
Phone Number: ____________________________________________________
Fax/Email: ________________________________________________________
OFFICIAL USE ONLY (do not write below)
Authorized by: ___________________________________ Date:____________
Attach postage/insurance information to form.
Return Lending Library material to:
NENA-TX Chapter President or designated officer.