MPLD Library Card Application
I apply for the right to use the Library and will abide by its rules. I will pay fines or damages charged to me, and give prompt notice of any change of address.

*If you already have a library card and need a replacement, please visit the library with your photo ID for a free replacement card.
Sign in to Google to save your progress. Learn more
Full Name *
(Please include middle initial, if any)
Gender *
Address *
No. and street or rural route, city, town
Phone *
Email address *
Date of Birth *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of MPLD.

Does this form look suspicious? Report

Google Forms