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 16, 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.
Library Location *
First Name *
Your answer
Middle Initial
Your answer
Last Name *
Your answer
Address Line 1 *
Your answer
Address Line 2
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Home Phone *
Your answer
Business Phone
Your answer
Township/Borough
Your answer
County
Your answer
Email address
Your answer
Gender
Your answer
Birth Date *
MM
/
DD
/
YYYY
By checking this box, I understand and agree to the borrowing rules of my local library, to pay promptly all fines charged against me for the injury, loss, or late return of materials, and to give immediate notice of my change of address. *
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