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Homebound Delivery Request
Anyone who has difficulty traveling to the Louisville Public Library, whether permanently or temporarily, is eligible for this free service. Fill out this form to apply for yourself or someone you know.
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Email
*
Your email
Our Outreach Coordinator will be in touch with you to help you choose titles and schedule deliveries and pickups. For any additional questions, call 330.875.1696.
Library Card # (or let us know if you need to sign up for a card)
*
Your answer
Full Name
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Your answer
Date of Birth
MM
/
DD
/
YYYY
Current Address
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Your answer
Phone Number
*
Your answer
Preferred method of communication
Phone call at above number
Text message at above number
Email at above address
Clear selection
What are you interested in? Mark all that apply.
DVDs
Books on CD (requires a CD player)
Playaways books (requires headphones)
Music CDs
Magazines
Large Print
Fiction
Nonfiction
Biographies
Western
Inspirational
Cozy Mysteries
Mystery
Romance
Science Fiction
Clear selection
How many items would you like per visit?
Your answer
Please leave any additional requests or questions here.
Your answer
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