Library Card Registration
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1. Name and Address
1
. Is this a new card or renewal?
Is this a new card or renewal?
New Card
Renewal
*
2
. Name
Name
*
3
. Address 1
Address 1
4
. Address 2
Address 2
*
5
. City
City
*
6
. State
State
*
7
. Zip
Zip
*
8
. Telephone Number
Telephone Number
9
. If this is for a child under the age of 15, please provide the parents full name.
If this is for a child under the age of 15, please provide the parents full name.
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