Homebound Delivery Application Form
The Gaylord Memorial Library is pleased to announce a new service to help patrons in our community who would like to borrow items, but are not able to get to the library due to health or transportation issues.
If you are interested in this service, please fill out the form below and a staff member will contact you. Kindly allow 3-5 business days for a follow up.
Full details and FAQ's for this program can be found at:
Preferred method of communication
Library Card Number
If unknown, leave blank.
Never submit passwords through Google Forms.
This form was created inside of C/W MARS, Inc..