Wake AHEC

NC AHEC Digital Library Application

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Last Name
 
First Name
 
MI
 

Occupation
 

Employer

Department
 
   
Job Title

** E-mail Address (Required)

 

Degree(s)

 

Home Address
 

City
 

State
 

Zip
 
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Work Phone
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Home or Cell Phone

 
Are you a preceptor or university faculty member?  If yes, please complete:

School
 
 
 Type of Student and Degree Program
 
AHEC Digital Library Membership Type:
Affiliated Membership - Provided by AHEC, hospital, or education program
Paid Membership - $250
Introductory 30-day free trial


For Paid Memberships, please choose payment method and submit your application using the submit button, and then follow the directions for your chosen payment method.
 
 Credit Card - call (919) 350-8529 for credit card processing after you submit.
 Check - submit the application, then mail your check (payable to Wake AHEC Library Services) to: Wake AHEC Library Services, 3261 Atlantic Avenue, Suite 212, Raleigh, NC 27604-1657



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The AHEC Digital Library resources are for members' personal use.  IDs and passwords are for individuals alone and cannot be shared with or transferred to another person.
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