EmailMeForm
Your Name
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First
Last
Your Phone Number
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Your Email Address (if available)
Address
Street Address
City
State / Province / Region
Postal / Zip Code
Reason for Home Delivery
Do you already have a library card? (If not, we will set up a card for you)
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Yes
No
Your Library Card Number
Preferred Reading Material Format (check all that apply)
Regular Print
Large Print
Audio Books on CD
Films on DVD
Music CD
Number of Books/CDs/DVDs you would like to borrow each month
4
8
12
16
Digital Services (check all that apply)
E-Books
E-Audio Books
E-Magazines
Movies/TV Shows
Device: (Tablet, Smart Phone, Laptop, etc.)
Brand: (Apple, Kindle, Android, etc.)
What are your FICTION reading interests? (Western, Mystery, etc)
What are your NONFICTION reading interests? (History, Biography, etc)
Favorite Authors
Emergency Contact