Library Card Application
Is this application a request to renew an existing library card?
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Yes
No
If you are renewing your card, do you need a new card?
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Yes
No
If you request a new library card you will be assigned a new library account number.
Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
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example@example.com
Phone Number
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-
Area Code
Phone Number
Please create a four digit PIN number.
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Please remember this number because you will need it to check out and reserve items online.
Upload a current government issued photo ID with your name on it.
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Browse Files
Cancel
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Upload current utility bill or any postmarked piece of mail with name and current address.
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Browse Files
Cancel
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Signature
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By submitting this form, you agree to the following: The name, address, and all other information provided on this application are true and correct. I confirm that I am at least 16 years old. I agree - To follow all rules and regulations regarding use of my library card. To pay all fines, costs, or fees assessed by the cooperative for overdue, lost, or damaged materials. That I am responsible for all materials checked out with my library card, with or without my consent, and for all other uses of the card. I understand that - My library card allows me to borrow materials, access website services, and use library Internet computers, software stations, and other library card-based services that may be made available. Failure to follow rules and regulations regarding use of my library card may result in suspension of library privileges.
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Yes I agree
Submit
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