Registration - Individual

Return this form to:
Library Services
VisAbility
P.O. Box 101
Victoria Park, WA 6101
Australia
Fax: (08) 9361 8696
Email: library@visability.com.au

Welcome to VisAbility's Online Library Catalogue.
You can use this form to register^* for our download only service.

Please check the registration requirements to see if you are eligible to access copyrighted works.
Additionally verification from a suitable certifying authority will be required to complete your registration.
* Conditions apply

For details about our postal library service within Western Australia please contact VisAbility
on (08) 9311 8202 or toll free on 1800 847 466.

We also offer library fact sheets PDFs in regular and large print.

Personal Information

Given name

Surname

Year of Birth

Address

City

State

Post Code

Country

Email Address

Phone

Nature of Disability

Additional information

Certification requirements Please provide a copy of any of the accepted credentials.

Online Library Catalogue

Registration Individual - Contd.

Parent/Guardian Signature If the person named above is a minor.
The signature of a parent or guardian must be provided.

Signature: _____________________________ Date: 02-Jun-2020

OR

Certifying Authority I certify that the applicant named above is requesting library service and is unable to read or use regular printed material for the reason indicated on this form.

Please Note:This section must be signed by the certifying authority spoken of above.