Library Account Application
Mott Public Library
Residents living within the City of Mott, ND are eligible to receive a free library Account. We accept donations in the amount of $25 per year for patrons who reside outside the service area.
Last Name: _____________________First Name:_________________ M.I. __
Birth date ________
Your parent has the option to opt out of this Library Agreement if you are under 18 years of age. A copy of this application will be sent to the address listed below.
Mailing Address: _________________________ City:____________
State: ________ Zip Code:_______
Home Telephone Number: ________________ Email Address:______________________
Name of School, Business or State Agency: ______________
Work/School Address: ___________________________
Work/School City: _______________ Work/School State:_____ Work/School Zip Code: _______
Work or School Telephone Number:_________
Return to:
Mott Public Library
202 E. 3rd St
Mott, ND 58646
Mott Public Library
202 E. 3rd St / P.O. 57
Mott, ND 58646
701-824-2163
Dear Parents,
Your child has signed up for a Mott Public Library Account. Please review the application for accurate information. Please complete information and return to the Library. There is the opportunity for parents to opt their children out of a Library card if they so choose.
Thank you.
Carol Kunnerup, Library Director
Mott Public Library