Library Card Sign-Up Form
Eaton Rapids Area District Library
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First Name *
Middle Initial
Last Name *
Street Address *
City *
State *
Zip Code *
Date of Birth *
MM
/
DD
/
YYYY
Email Address
Phone Number
Preferred Contact Method *
Required
Mobile Phone Provider (if you wish to receive text reminders from the Library)
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This form was created inside of Eaton Rapids Area District Library.