Order Form for Patron Cards
This form can be filled out anytime to place an order for patron cards. Orders will be placed at the beginning of February, May, August, and November for any forms received in the previous three months. All orders must be generated by the submission of the completed order form. Should you need to expedite your order, or require special arrangements, please email
once you have completed this form.
Your library name: as it is to appear on the card
The 14 digit number on the last patron card you have in your library
The 14 digit number on the first patron card of this order. Please mark the 14th digit as X for the check digit.
The type of card I wish to order
card only PVC 30 MIL
card + 1 keytag
card + 2 keytags
The quantity of patron cards you wish to order in multiples of 1000 (Special request can be made for orders of 500)
Back of card : The back of the card has a bar code and a signature line. The standard bilingual text at the back of the card is as follows: 'I agree to take responsibility for the materials borrowed on this card and to abide by the rules and regulations of the issuing library. Je consens à prendre la responsabilité pour les matériaux empruntés sur cette carte et conformer aux règles et aux règlements de la biblitohèque publique.' If you wish to have different text, please type it below as it should appear on the card.
Contact phone number
Contact email address
Contact name if not the same as the person completing this form
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