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Stacyville Public Library New Patron
New Patron Form
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Email *
Date *
MM
/
DD
/
YYYY
Name *
Email *
Address *
Cell Phone Number *
Second Contact Phone Number *
Are you 18 years old or older? *
Required
*In order to obtain a Stacyville Public library card, you will need to furnish identification containing a photo ID and a current water or electric bill.
**Your application requires a parent or legal guardian's signature.
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