Library Membership Form

Library Membership Form
Type of membership*

Resident memberNon resident member
Name *

First NameLast Name
Membership type*
If you are filling out a family membership, please add your family members name, email and phone number in the columns below. ie: husband, wife, partner
Email*
Phone Number*

Area CodePhone Number
Family member

First NameLast Name
If member is a child, please indicate their age
Age of the child
Family member email address
example@example.com
Family member Phone Number

Area CodePhone Number
Family member

First NameLast NameSuffix
If member is a child, please indicate their age
Age of the child
Family member email address
example@example.com
Family member Phone Number

Area CodePhone Number
Family member

First NameLast Name
If member is a child, please indicate their age
Age of the child
Family member email address
example@example.com
Family member Phone Number

Area CodePhone Number
give permission for the library to send me library news, upcoming programming and events information, 3 day notices for library material, and more!
Physical/Civic Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Mailing Address*

Street Address

Box Number

CityProvince

Postal Code
Please choose where your current residence is located:*

R.M. of AlexanderR.M. of Victoria BeachR.M. of St. ClementsTown of Powerview/Pine FallsSagkeeng First NationOther
Please choose one*

I am a permanent resident of this communityI am a seasonal resident of this community
Date*

MonthDayYear
Date
Please submit a photo of a document that has your name and physical address on it. Example: Driver's license, Manitoba Identification Card. For seasonal residents, please also include a copy of your tax bill, hydro bill or water bill with proof of residency*

Browse Files

Cancelof
If you are a non-resident member, please submit the $25.00 annual fee via e-transfer to admin@allardlibrary.com.

If you are submitting a non-resident family membership, please submit the $45.00 annual fee via e-transfer to admin@allardlibrary.com

If you prefer, you can come to the library and pay in person.
Signature*

Clear
To sign, please click and drag with your mouse or your finger
Should be Empty: