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Library Website Borrower Card Registration

Please complete the form below. Make sure all text fields are answered. Type “none” if you do not have an email address or alternate phone.  
First Name & Middle Initial:
Last Name:
Address:
City:
 State:
Zip Code:
County:
Home Phone:
Is Number Long Distance?
Alternate Phone:
Is Number Long Distance?
Email Address: (Give parent
e-mail if under 18)
Is this a replacement?
Please select your home library:
Are you a child under 18 years old? If so, you must provide your date of birth and the name of your parent or guardian.
By selecting "Accept", I agree to abide by library borrowing policies and assume responsibility for all library materials including payment for materials not returned.
I Accept
How would you like to receive your card?
I would like to pick my library card up at my home library - after 24 hours from now
I would like to have my library card mailed to me
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