Consultant Agreement


	User Name Password Remember Me Forgot Login? Forgot User Name CREATE ACCOUNT Individual public library employees from member states are encouraged to register. Only registered members have access to the "extras" that will enhance your summer reading program including the online catalog, graphics, signing videos, PSAs and so much more. Register today, and find out what you've been missing! NOTE: If you are affiliated with a school (librarian, PTA, administrator, teacher, etc.) please contact your local public library for a copy of the School Order form for the 2013 Summer Reading program. If you do not have a local public library please contact Karen Day (866-657-8556)


This Agreement is between (*)	Please add a value for Library.	Library
a non-profit corporation that is exempt from taxation under Section 501(c)(3) [or a governmental entity], and
(*)	Please add a value for consultant.	(the “Consultant”.)
The effective date of this Agreement is (*)	Please add a value for date.	(“Effective Date”.Use mm/dd/yyyy format)

Consultant Name (*)	Please add a value for Consultant Name.
Consultant Title (*)	Please add a value for Consultant Title.
Library Rep Name (*)	Please add a value for Library Rep Name.
Library Rep Title (*)	Please add a value for Library Rep Title.
Library Information
Name (*)	Please add a value for Library name.
Phone Number (*)	Please add a value for phone.
Fax Number
Address (*)	Please add a value for Lib address.
City (*)	Please add a value for agency city .
State (*)	Please add a value for agency state .
Zipcode (*)	Please add a value for agency zip.
Library Contact Person (*)	Please add a value for Library Contact Person .
Email Address (*)	is not a valid e-mail address.
Consultant Information
Name (*)	Please add a value for Library name.
Phone Number (*)	Please add a value for phone.
Fax Number
Address (*)	Please add a value for address.
City (*)	Please add a value for city .
State (*)	Please add a value for state .
Zipcode (*)	Please add a value for zip.
Vendor Contact Person (*)	Please add a value for Vendor Contact Person .
Email Address (*)	is not a valid e-mail address.
EIN Number
List of 3 references with which you have or have had contracts of a similar nature:
Name
Phone
Name
Phone
Name
Phone
Description of Products or Services to be provided by Consultant:
Deadline for Submission of Products or date Services are to be provided:
Fees for Products/Services:
Please enter text in black (*)	Please complete capture.