2012 Memberships run from January 1 - December 31. Dues payments are NOT pro-rated.
License / Validation Information:
SirsiDynix Client/Customer Number:
A value is required. Minimum number of characters not met. Exceeded maximum number of characters.
REQUIRED: Number issued by SirsiDynix to SirsiDynix Clients/Customers. NOTE: FOR SECURITY PURPOSES YOU WILL BE ASKED TO ENTER THIS NUMBER AGAIN ON THE NEXT PAGE.
Institution and/or Library Name:
A value is required. Minimum number of characters not met.
REQUIRED: The Institutional name associated with your SirsiDynix Client/Customer number.
How many years has your institution / library been a customer of SirsiDynix?:
A value is required. REQUIRED: Please enter the number of years your institution has been a production customer of one or more of SirsiDynix's core ILS products.
Contact (Voting Representative) Information:
First Name:
A value is required. Minimum number of characters not met. Exceeded maximum number of characters. REQUIRED: Name and institutional / library address of the COSUGI voting representative.
Last Name:
A value is required. Minimum number of characters not met.
Job Title:
A value is required. Minimum number of characters not met.
Street Address:
A value is required. Minimum number of characters not met.
City:
A value is required. Minimum number of characters not met.
State/Region:
A value is required. Minimum number of characters not met.
Country
A value is required.
Zip code:
A value is required.
Telephone Number:
Invalid format. A value is required. REQUIRED
Fax Number:
Invalid format.
E-Mail Address:
A value is required. Invalid format. REQUIRED
Privacy Level
I authorize the checked information to be available to visitors on the COSUGI web site.
The checked information will be listed in a public accessible 'COSUGI Members List' This information can be added, removed, or changed upon request by contacting accounts@cosugi.org
Additional Library Information
REQUIRED: SaaS stands for Software as a Service. SirsiDynix provides Symphony, Unicorn, and Horizon hosting as a service for many libraries. If SirsiDynix hosts your ILS for you, please select 'YES'
REQUIRED: Select the library type that best represents your library.
Please select the ILS system you are currently using.
Please make a selection. REQUIRED: Check the Integrated Library System your library is currently using in production.
If you answered YES Institution/Library name / City / State / Country.
format: Library Name / City / State / Country
REQUIRED: Please note - Consortia of libraries sharing a single Unicorn, Symphony, Horizon, or Dynix license are eligible for one membership vote.
*IF the list of libraries associated with your SirsiDynix ILS license is extensive (you don't want to type them all into this form) you are welcome/encouraged to e-mail or FAX this information to:
This information will be used to assist in identifying libraries eligible for meeting registration discounts, committee service, and accessibility to other COSUGI offered member services.
