BCML Bookmobile and Outreach Services Request

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Interested in library services to your home or event? Fill out the form and someone will contact you for more information.

Bath County Memorial Library Bookmobile and Outreach services serves Bath County, Kentucky

Name *

Email / Phone # *

What type of outreach service are you requesting? *

Contactless Delivery (tote system, we pick materials based upon your criteria; no need to be home during delivery time)

Bookmobile (You select materials from the bookmobile and will need to be available during the bookmobile's route.)

Programming (special events; ask us about services)

Programming (regularly scheduled; ask us about services)

Other:

I am aged 18+ and am requesting services for a Bath County address *

Yes

Other comments or questions

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report