LIBRARY CARD APPLICATION AND RENEWAL FORM
Attn: Circulation Department
First Name: _____________________________________________
Last Name: _____________________________________________
Home Address: __________________________________________
(P.O. Box not acceptable)
Zip Code: __________________________________
Home Phone: _______________________________
I am a new patron. This is my FIRST library card.
My card is expired. I need to RENEW it.
I LOST my card. I need a new one. ($1.00 replacement fee)
Barcode: _______________________________ (Only necessary for lost cards and renewals.)
Date of Birth : ___________________________ (Required for age 14 and under.)
You will need to prove residency by providing a copy of one of the following documents:
Choose one of the following options to apply for a card or renew your current library card: