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Archdiocese of Santa Fe Ministry Resource Center Patron Registration
18
Questions
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1
Last Name
*
This field is required.
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2
First Name
*
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3
Street Address
*
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4
City
*
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5
State
*
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6
Zip Code
*
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7
Birth Date
*
This field is required.
This is needed because some of our patrons are minors.
-
Date
Month
Day
Year
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8
Gender
Male
Female
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9
Parish/ASF Agency
*
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10
Phone Number
*
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11
What type of phone is this?
*
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Home
Work
Mobile
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12
Alternative Phone Number
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13
What type of phone is this?
Home
Work
Mobile
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14
E-mail
*
This field is required.
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15
User Name
*
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16
PIN
*
This field is required.
Must be at least four characters and no more than 8 characters.
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17
How much notice would you like when items are due?
You will be automatically contacted via e-mail when materials you have checked out are due.
1 week
5 days
3 days
2 days
1 day
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18
How would you prefer to be contacted?
*
This field is required.
We need to know how to contact you if you have materials that are overdue or if a resource you have reserved is available.
Home Telephone
Work Telephone
Mobile Phone
E-mail
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19
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