Pre-registration form

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Fill in the form below, and head to the library desk to confirm your registration to the BiUM library (and to the Renouvaud network)

Mandatory fields: *
Last name *
First name *
	Female Male
Birthdate (DD.MM.AAAA) *
Home address:
Street *
(second line)
Postal code *
City *
Country *
Phone number *
Work:
Job *
Organization / School
Work address:
Work address
(second line)
Postal code
City
Country
Phone or pager
Emails:
Email 1 *
Email 2
Identity document: A valid piece of identification is necessary to confirm a registration. Remember to bring it!
Identity document type *
Number on identity document *
*	I have read about the accepted pieces of identification and I agree to the loan conditions and the rules related to copyright and use of the libraries.
Password:
Password (access to your loans) *	(must be 8 to 12 letters/numbers long)
Confirm your password *