JTL Curbside Service Request Form
Please list first and last name. (Ex: Hermione Granger)
Please list your full email address. (Ex:
Please list your phone number including area code. (Ex: (802) 899-4686)
Please list your physical address. (Ex: The Cupboard Under the Staircase, 4 Privet Drive, Little Whinging, Surrey)
Do you currently have a JTL card?
If you don't have a card, we'll do our best to get you a temporary card.
No, but I'm interested in getting one.
I'm not sure.
I have a library card from another library that is part of the HomeCard system.
Titles and authors of the items you'd like to request:
Each individual in a household is able to check-out up to 5 items at a time (yes, even if you’re three years old & yes, that can include DVDs). You can either request 5 specific titles, or select a bundle that our library staff will choose for you. Ex: Carry On by Rainbow Rowell; Geek Love by Katherine Dunn; Dragons Love Tacos by Adam Rubin
If one or more of my titles are unavailable would you like us to select a substitute?
Book Bundle Selection
Picture Book Bundle
Early Reader Bundle
Grade 3-5 Bundle
Grade 6-8 Bundle
Custom Bundle: Please describe in "other" below (Examples: memoir, dinosaurs, knitting, etc.) We will do our best!
I would like to be notified when my Curbside Pickup is ready by:
Ring me! (Phone Call)
Write me! (Email)
Either. Seriously, if you could send a carrier pigeon, I'd be really impressed.
Is there anything else you need us to know?
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This form was created inside of Jericho Town Library.