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Homebound Delivery
Residents of Union County who are unable to visit the library due to a visual or physical impairment may register for this service by filling out this form.  Please note that a valid library card is necessary for this service and may require the creation of a library account before service can begin.

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Basic Information
Last Name
First Name
Middle Initial
Street Address
Phone Number
Service Preferences
What format of reading materials do you prefer? *
Required
How often do you prefer delivery? *
How many BOOKS would you prefer in each delivery? *
How many BOOKS ON CD would you prefer in each delivery? *
How many MAGAZINES would you prefer in each delivery? *
How many DVDs would you prefer in each delivery?
Clear selection
Please let us know if you have favorite authors or specific interests.
Interest Profile
Fiction Interests
Nonfiction Interests
Please add more information for answers that asked for specification
Movies- check all that apply
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