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    Library Card Application English 081121

    Uploaded by

    Benjamin Zamy
    The document is a library card application form. It requires the applicant to provide contact information, agree to abide by library policies, and allows them to opt into email newsletters. It collects name, address, contact details, date of birth, and asks how the applicant heard about the library. The form serves to register people for a free library card and get their consent to library rules like returning materials on time and paying any fees for lost items.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Library Card Application English 081121

    Uploaded by

    Benjamin Zamy
    20 views1 page
    The document is a library card application form. It requires the applicant to provide contact information, agree to abide by library policies, and allows them to opt into email newsletters. It collects name, address, contact details, date of birth, and asks how the applicant heard about the library. The form serves to register people for a free library card and get their consent to library rules like returning materials on time and paying any fees for lost items.

    Original Description:

    Application

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    The document is a library card application form. It requires the applicant to provide contact information, agree to abide by library policies, and allows them to opt into email newsletters. It collects name, address, contact details, date of birth, and asks how the applicant heard about the library. The form serves to register people for a free library card and get their consent to library rules like returning materials on time and paying any fees for lost items.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    20 views1 page

    Library Card Application English 081121

    Uploaded by

    Benjamin Zamy
    The document is a library card application form. It requires the applicant to provide contact information, agree to abide by library policies, and allows them to opt into email newsletters. It collects name, address, contact details, date of birth, and asks how the applicant heard about the library. The form serves to register people for a free library card and get their consent to library rules like returning materials on time and paying any fees for lost items.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    Library Card Barcode: ________________________________

    Tyler Public Library

    It is the responsibility of the library card holder to return all books and materials on time and in good
    condition. I will abide by all library policies, and I understand that if I do not keep a clear account my
    name may be handed over to a collection agency. This is a free service of your public library for
    everyone who lives within the city limits.

    Cardholder: ____________________________________________________________________________
    Print Full Name (as it appears on your ID)

    If under 12, name of parent or guardian: __________________________________________


    Print Name
    REQUIRED: Signature of cardholder
    (or parent or guardian if under 12): _______________________________________________________
    I agree to abide by the Library’s rules and regulations.

    Home/Physical Address (Not P.O. Box) ______________________________________________________

    City ________________________ State ________ Zip Code ___________

    Mailing Address (if not the same as above) __________________________________________________

    City ________________________ State _________ Zip Code ___________

    Telephone ___________________Date of Birth _______________ Sex ________ Race ___________

    e-Mail Address _________________________________________________________________________


    (We only use your e-mail for sending notices about items you place on hold, overdue items, and mailing lists you opt into)

    Would you like to receive the Library e-Newsletter (e-mail required) Yes ___ No___

    Would you like to be added to the Friends of the Tyler Public Library email and mailing list?
    E-mail: Yes____ No____ Mailing: Yes____ No____

    Where did you hear about us? (Circle One): Social Media Internet Friend or Relative Other_____________

    Are there any other adults who will be authorized to use this account? If so, please list their full names:
    ________________________________________________________________________________________

    FOR LIBRARY USE ONLY

    _____Driver’s License Number __________________________________________________________

    _____Utility Bill _______________________________________________________________________

    _____Other ___________________________________________________________________________

    Staff Initials: ___________________ Date: ________________________

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