Online Patron Registration - Bridgenorth Library

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Please complete this form to apply for a library card with the Selwyn Public Library.
You have chose Bridgenorth Library as your home library!
You will receive a phone call as soon as we have your card ready.
You will be required to show ID with an address when you pick up the physical card.

Email *

I am requesting this card for: *

Myself

Dependent (example: my child or someone in my care)

First & Last Name *

If this card is for someone else, please enter their name here:

Demographic: *

Municipality *

Permanent/Primary Residence Mailing Address - (Street / PO BOX, City, Province, Postal Code) *

Seasonal Residence Mailing Address if applicable - (Street / PO Box, City, Province, Postal Code)

Phone *

I wish to receive the library's monthly eNewsletter *

Yes

I already receive the monthly eNewsletter

I take responsibility for the selection and return of all materials borrowed from the library on this card. I understand I will be required to show ID with an address at the time of pickup. (Please type your name) *

Submit

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