Albion District Library E-Card Application

Apply for an Albion District Library card or renew your expired card. If you are signing for multiple members of a household, please complete the form for the head of household. A staff person will contact you.

FIRST NAME *

MIDDLE INITIAL

LAST NAME *

(JR, SR, ETC.)

STREET ADDRESS *

CITY *

ZIP CODE *

LIBRARY CARD STATUS

I am an ADULT signing up for a new library card.

I am a PARENT or GRANDPARENT signing up for a new card for my child.

I have a library card that has expired and I would like to RENEW it.

I have a library card that has FINES, and would like to talk to a staff member about my options. (Some fines have been forgiven in the last two years. Please ask!)

I am a CHILD or TEEN and don't have anyone to sign me up for a library card.

I'm NOT SURE of my status and would like a staff member to contact me.

Clear selection

AREA RESIDENT (I rent or own property in the library area.) *

CITY OF ALBION

ALBION TOWNSHIP

SHERIDAN TOWNSHIP (WITHIN MDL SCHOOL DISTRICT)

NONE OF THESE (See other options below.)

Other:

EMPLOYEE OF LOCAL BUSINESS (I don't live or rent property in the library's district, but I work for a local business, government entity, or non-profit organization in the library's area.) Please note your employer's business name.

I DON'T MEET LIVE OR WORK IN THE ALBION AREA, BUT...

I LIVE IN JACKSON COUNTY.

I USE THE HOMER PUBLIC LIBRARY.

I'M A STAFF MEMBER OR STUDENT AT ALBION COLLEGE

NONE OF THESE, BUT I WOULD LIKE TO USE ALBION DISTRICT LIBRARY

Clear selection

BIRTH DATE (MM/DD/YYYY) *

PHONE NUMBER (Please include area code.) *

E-MAIL ADDRESS (optional)

LIBRARY CARD AGREEMENT:

I understand that I am assuming responsibility for the care and safekeeping of all physical materials borrowed on my library card. I agree that I am responsible for any overdue fines and fees, and for replacement of items damaged or lost while in my care. (More information on fines, fees, and replacement charges is available upon request. Please ask!)

VIRTUAL SIGNATURE *

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