This form must be attached to your purchase order.
All requested
information must be provided for us to process your order.
New subscribers, please read this license agreement, then mail or fax the signed last page.
PO must be made out to: WiLS, 728 State Street, Room 464, Madison WI 53706.
Contact Person:______________________________________________
Library:_____________________________________________________
Street:_____________________________________________________
City, State, Zip:______________________________________________
Phone:________________________Fax:_________________________
Email: __________________________IP Range: _________________________
Contact Cheryl Bradley (cbradley at wils.wisc.edu or 608.265.4167) for a custom quote.