WASHINGTON STATE BOARD OF REGISTERED SANITARIANS
P. O. Box 384, Snohomish, Washington 98291 
(360) 659-8432
wsbrs.secretary@gmail.com

LENDING AGREEMENT
REGISTERED SANITARIAN EXAM
STUDY GUIDES

The Washington State Board of Registered Sanitarians has purchased a limited number of study guides to be available for loan to candidates applying to take the Registered Sanitarians exam in the State of Washington.  The loan of the study guide is subject to availability and to the following conditions:

1. 	A deposit of $50.00 plus $4.00 postage and handling ($54.00 total) is required to be submitted with the request for a copy of the study guide.  The deposit, less postage and handling, will be refunded upon return of the study guide.
2. 	The study guide is to be turned returned at the time the applicant sits for the exam.  However, the study guide must be returned within 2 weeks of the date of the exam.  Maximum checkout time is 6 months (special arrangements may be made dependent on demand for guides.)
3. 	Study guides are not to be written in or reproduced in any manner.
4. 	Failure to return a study guide will result in loss of deposit fee, and a bill for the purchase price of the study guide ($199) less the deposit fee ($50.00).  Those passing the exam will not be able to renew their membership with the WSBRS until the study guide is returned, or the purchase price less the deposit fee is paid.  Those applying for re-exam may not do so until the study guide is returned, or a new lending agreement is signed.

I agree to abide by the terms of this Lending Agreement and will return the study guide as stated.  My deposit fee is enclosed.

___________________________________________________________
Signature						Date

Name:___________________________________________________________

Mailing Address:___________________________________________________
                           Street Address
________________________________________________________________________
City			State		Zip		Phone#                            email

For Office Use:
Date Received:  __________   Check #:  ________________  Refund Check #:_______
Date Due:  ______________   Date Returned:  ___________                 Date:  ________
8/1/06