Library Card Request Form
Please fill out the following form to request a library card. We will mail your card to you. If you are under the age of 17, you will also receive a card to get a guardian's signature. You will also need to bring proof of identity to the library next time you visit us. If you are out of state or out of our area (Fulton, Franklin, Bedford, Huntingdon counties), you should apply for a card in person.

Library cards expire after one year. To renew them, just give us a call and we can do that over the phone.
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Library Location *
First Name *
Middle Initial
Last Name *
Home Address Line 1 *
Address Line 2
City *
State *
Zip Code *
Home Phone *
Business Phone
Email address
What is your contact preference?
Clear selection
Cell Phone if text preferred.
Birth Date *
Guardian's Name (if under 17)
Authorized User, if desired. An Authorized User is another adult to whom the patron wishes to give access to their account. A patron should visit or call their library to designate an authorized user for their account. An authorized user can check out books and materials for the patron and may pay library fees. The card holder accepts responsibility for all actions that occur as a result of this access. Revoking access must be done in writing. Find out more about this in our Card & Borrower Policy.
Create a PIN or Password
Which style of card would you like? *
By checking this box, I understand and agree to the borrowing rules of my local library, to pay promptly all fees charged against me for the damage or loss of materials, and to give immediate notice of my change of contact information. *
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