Library Card Application Please select the style of card you would prefer*WalletKeychain Full Name*FirstMiddleLast Date of Birth*month / day / 202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901year Parent/guardian library card number (for minors) Parent/guardian name (for minors) Email* Phone* When you request an item, the library can notify you that it's ready to pick up via text message. Would you like to receive text notifications?*YesNo If you answered yes to the above, please put the number to which you'd like texts sent If you selected yes for text notifications, please provide your mobile phone service providerPlease Select CarrierAT&TAlltelBoost MobileCellular OneNextelSprintT-MobileUnicelUS CellularVerizonVirgin Mobile Physical address* Street Address City State / Province / Region Postal / Zip Code Mailing address (if different from physical address) Street Address City State / Province / Region Postal / Zip Code Would you like to sign up for our eNewletter?*YesNoSubmitReset
