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If you choose email notification, you will not receive a phone call that an item has come in for you or that you have an overdue item.

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Town State Zip Code

I hereby apply for the right to use the library, and agree to comply with all its rules and regulations, and to give immediate notice of change of address information.

Name, Contact Information, and Desired PIN:
First Name Last Name MI Date of Birth

Local Telephone Permanent Telephone E-Mail Address

PIN (6 characters)

Do you wish to
receive Library Notices by email?
Yes   No
If you choose email notification, you will not receive a phone call that an item has come in for you or that you have an overdue item.

Primary Residence Address (where you vote):
Street P.O. Box

Town State Zip Code

Secondary Residence Address
Street P.O. Box

Town State Zip Code

I hereby apply for the right to use the library, and agree to comply with all its rules and regulations, and to give immediate notice of change of address information.

Name, Contact Information, and Desired PIN:
First Name Last Name MI Date of Birth

Local Telephone Permanent Telephone E-Mail Address

PIN (6 characters)

Do you wish to
receive Library Notices by email?
Yes   No
If you choose email notification, you will not receive a phone call that an item has come in for you or that you have an overdue item.

Primary Residence Address (where you vote):
Street P.O. Box

Town State Zip Code

Secondary Residence Address
Street P.O. Box

Town State Zip Code

Parent / Guardian Information:
First Name Last Name MI

Internet Form Signed Yes   No

I hereby apply for the right to use the library, and agree to comply with all its rules and regulations, and to give immediate notice of change of address information.