EDX Assessment

Institution Information

*Institution Name

Department or Library

*OCLC Symbol (if applicable)

Directory of OCLC Libraries

*Street Address

Address 2

*City

State or Province

*ZIP or Postal Code

Contact Person #1

*Name

First and last

Title

e.g., Technical Services Person

*Phone Number

Fax Number

E-mail

Contact Person #2

*Name

First and last

Title

e.g., Systems Office Person

*Phone Number

Fax Number

E-mail

Vendor Information (if applicable)

This is a Third Party Vendor Account
This is a Regular Account. Vendor will be picking up these records.

If this is a Third Party Vendor Account, please give us READ access to the records for the following symbol:

If this is a Regular Account, please give us the vendor name and symbol.

Vendor Name

Vendor Symbol

Comments

Terms and Conditions

Printable version of the OCLC EDX Assessment Terms and Conditions (opens in a new window)

*Do you affirm that you are authorized to submit this order form and thereby order the OCLC Electronic Data Exchange Service on behalf of the institution, and do you agree to the OCLC Electronic Data Exchange Service Terms and Conditions?

Yes
No

*Your Name

*Your E-mail

Your Title

Comments

EDX Assessment

Thank you.

Thank you.