LIBRARY CHECK-OUT FORM
LIMIT 2 ITEMS, DUE IN 2 WEEKS
Forma de Reserva para la Biblioteca
LÍMITE DE 2 ARTÍCULOS, POR 2 SEMANAS
Name/Nombre
First Name/Primer Nombre
Last Name/Apellido
Email/Correo electrónico
example@example.com/ejemplo@ejemplo.com
Phone Number/ Número de Teléfono
Please enter a valid phone number./Por favor entre un número válido
Format: (000) 000-0000.
Address/Dirrecion
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please list the title and library book numbers of the items you would like to check out. There is a limit of 2 items, which are due back in two weeks.
Please choose how you would like to receive your books. Some options are to pick it up from outside the Family SOUP office or have them delivered to your home by a Family SOUP employee. We will use your phone or email to confirm.
I accept full responsibility for the prompt return (within 2 weeks) of all library materials borrowed, so that others may also benefit from these resources. I agree to pay the necessary replacement costs for damaged, lost, or un-returned materials. Please add your signature by using your finger or clicking your mouse in the box below.
Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: