Avoyelles Library Card registration

Question Title

* 1. Full name, including middle initial:

Question Title

* 2. Age Group

0-12

13-17

18+

Question Title

* 3. Gender

Male

Female

Other

Prefer not to answer

Question Title

* 4. Physical mailing address:

Question Title

* 5. E-mail address:

Question Title

* 6. Phone number:

Question Title

* 7. School/college or place of employment:

Question Title

* 8. If you would like to access our digital collection, like eBooks, you will need to select a 4-digit PIN number:

Question Title

* 9. How would you like to receive your library card?

Pick up from Marksville Library

Mail it to my physical address

Other (please specify)