Please provide as much information as possible to help us select materials for you. Staff will contact you when selected items are ready for pick up. (We will not keep this information -- once selection is made, your responses will be deleted.)
You may also view and request items from our catalog here: You can view the catalog here:
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to save your progress.
Do you have a library card?
No (We will contact you to register you if we are able to do so)
I'm not sure (We will check for you and contact you to update your account as needed)
If possible, please enter your card number:
Preferred contact option
Phone number or email address
Specific titles you would like to borrow (Please provide as much information as possible. You can view the catalog here:
Do you have a bluray compatible device
Yes, but I need DVD.
TV Show or Movie?
How many additional items (selected by a librarian based on your interests provided below) would you like to borrow?
None, just the specific titles I requested.
Genres! (Check off as many as you like)
What are you in the mood to watch right now?
Any more details: (Such as favorite time periods, settings, character details, or things to avoid like violence, religion or politics.)
We will contact you to arrange pickup as soon as possible. We will do our best to accommodate as many requests as we can. Please let us know here if you have any special notes, comments, questions, or concerns.
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This form was created inside of City of Plattsburgh.