Request edit access
Book Request Form
The West New Your Public Library provides a wide variety of services for the community. Library staff is committed to customer service and to meeting the educational needs of our patrons. We welcome the opportunity to assist those who visit with their search for materials.
Sign in to Google to save your progress. Learn more
Email *
Your Full Name *
Your Library Card Number *
Your Desired Pick Up Date *
Pick ups are available every hour from 10am - 4pm Monday thru Friday. Don't go to the library for pick-up until you receive a confirmation that your pick up is ready. The confirmation can be by email or phone call.
MM
/
DD
/
YYYY
Phone Number *
Email Address *
Title Of The Books   *
Author Of The Books *
Pick Up Time *
Pick ups are available every hour from 10am - 4pm Monday thru Friday. Don't go to the library for pick-up until you receive a confirmation that your pick up is ready. The confirmation can be by email or phone call.
Best Way To Contact You With Confirmation *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy