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Please fill out one form for each family member.
First Name
Your answer
Last Name
Your answer
Street Address, City & Zip Code
Your answer
Send all Notices by (check one):
Notices include: "Pick-up Items Requested", "Due Soon Reminder" & "Overdue Notices"
Required if you chose Email Notices!
Your answer
Your answer
Give the persons Month, Day & Year of Birth
example: 01/01/2001
Your answer
For a Child's Card give Name of Parent/Guardian
Your answer
Please Note:
Allow 24-hours before picking up your library card at the Homer Township Public Library. Cards not picked up within 3 months will be discarded and one must reapplied.
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