Marion Public Library (Indiana) Card Application

Marion Public Library (Marion, Indiana) Card Application
Which type of library card are you getting?

Adult Resident (You live inside the city limits and pay city taxes)Adult Nonresident (You live outside the city limits)Student Card (You attend Marion Community Schools, St. Paul's, Kinwell Academy, Little Giants Preschool or Early Head Start at Carey Services)

Adult Resident Library Application

Picture ID and proof of current residence must be presented when applying for Library Card. Information on the application is confidential and for library use only.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of birth*

MonthDayYear
Date
Date

MonthDayYear
Date
To avoid postage costs and delivery delays, all general notices will be sent to the email address you enter below or texted to the phone provided below. If you do not have an email address, billing notices will be mailed to the mailing address above. The library cannot guarantee prompt delivery of billing notices mailed through the Post Office.
Phone Number*
Please enter a valid phone number.
Would you like to receive text messages?*

YesNo
Email
example@example.com
Mailing address (if different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Borrower Responsibilities:

The above information given by me is accurate. Any false statement or misrepresentation will result in immediate suspension of borrowing privileges and the library may take any appropriate legal action that is available to it. I agree to follow the provisions of the Adult and Youth/Children's Circulation Policies and Procedures of Marion Public Library. I agree to pay all fees charged to my card and to pay cost of collection. I also agree to notify the library of any change in my name, address or phone. I will present my card to check out materials. I understand that my Library card is non-transferable, and I will not loan my card to anyone else. I am responsible for any item borrowed with my card or against my card number; if my card is lost or stolen, I will report it immediately.
After you complete the online application:

Within 30 days of completing the online form, bring a photo ID and proof of address (if your photo ID has your current addresss, that's all you need) to the library to complete your application and receive your library card!
Signature*

Clear

Adult Nonresident Library Application

Picture ID and proof of current residence must be presented when applying for Library Card. Information on the application is confidential and for library use only.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County
Date of birth*

MonthDayYear
Date
To avoid postage costs and delivery delays, all general notices will be sent to the email address you enter below or texted to the phone provided below. If you do not have an email address, billing notices will be mailed to the mailing address above. The library cannot guarantee prompt delivery of billing notices mailed through the Post Office.
Phone Number*
Please enter a valid phone number.
Would you like to receive text messages?*

YesNo
Email
example@example.com
Mailing address (if different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Borrower Responsibilities:

The above information given by me is accurate. Any false statement or misrepresentation will result in immediate suspension of borrowing privileges and the library may take any appropriate legal action that is available to it. I agree to follow the provisions of the Adult and Youth/Children's Circulation Policies and Procedures of Marion Public Library. I agree to pay all fees charged to my card and to pay cost of collection. I also agree to notify the library of any change in my name, address or phone. I will present my card to check out materials. I understand that my Library card is non-transferable, and I will not loan my card to anyone else. I am responsible for any item borrowed with my card or against my card number; if my card is lost or stolen, I will report it immediately.
Permission For Spouse to Use Library Card

I give my spouse First Name Last Name permission to use my Marion Public Library card. I understand that this is an individual card and the use of the card would be limited to the borrowing limits of the individual cardholder (For example: only 7 fictional videos would be permitted to be checked out at any given time. Each person could not check out 7 fictional videos.).
I will notify the library if I no longer desire my spouse to use my Library card.
After you complete the online application:

Within 30 days of completing the online form, bring a photo ID and proff of address (if your photo ID has your current addresss, that's all you need) to the library to complete your application and receive your library card!
Signature*

Clear

Student Library Card Registration -Individual Student Use Only

(May Not Be Used by Other Family Members/No DVD’s may be checked out)
Identification with current residence street address must be presented. Information on the application is confidential and for library use only. Student only must present card to check out materials. Your library card is non-transferable. You may not loan your card to anyone else. You are responsible for any item borrowed with your card or against your card number. Applicants under the age of 18 must have this form signed by parent or other adult sponsor who accepts financial responsibility for all items borrowed against this assigned card number. Students must attend: 1. Marion Community School 2. St Paul’s 3. Kinwell Academy 4. Little Giants Preschool 5. Early Head Start at Carey Services
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of birth*

MonthDayYear
Date
To avoid postage costs and delivery delays, all general notices will be sent to the email address you enter below or texted to the phone provided below. If you do not have an email address, billing notices will be mailed to the mailing address above. The library cannot guarantee prompt delivery of billing notices mailed through the Post Office.
Phone Number*
Please enter a valid phone number.
Would you like to receive text messages?*

YesNo
Email
example@example.com
School student attends*
Name of Parent or Adult Sponsor*

First NameLast Name
Relationship to student*
If Other, please specify.
Email
example@example.com
Mailing address (if different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
The Student Nonresident card may be used to borrow the following materials only:
books, periodicals, compact discs, and audio books.

The above information given by me is accurate. Any false statement or misrepresentation will result in immediate suspension of borrowing privileges and the Library may take any appropriate legal action that is available to it. I agree to follow the provisions of the Adult and Youth/Children's Circulation Policies and Procedures of Marion Public Library. I agree to pay all fees charged to my card and to pay cost of collection fees. I also agree to notify the Library of any change in my name, address or phone. I will present my card to check out materials. I understand that my Library card is non-transferable, and I will not loan my card to anyone else. I am responsible for any item borrowed with my card or against my card number; if my card is lost or stolen, I will report it immediately.
After you complete the online application:

Within 30 days of completing the online form, bring a photo ID and proff of address (if your photo ID has your current addresss, that's all you need) to the library to complete your application and receive your library card!
Signature of parent or adult sponsor*

Clear

Should be Empty:

Marion Public Library (Marion, Indiana) Card Application