Common Contracts
1 similar Library Card Application contracts
LINCC LIBRARY CARD APPLICATIONLibrary Card Application • July 28th, 2022
First Name (Legal)* Middle Last (Surname) Mailing Address Apartment/Suite # City State Zip Code Home Address (If different than above) Apartment/Suite # City State Zip Code Phone Number Birthdate (MM/DD/YYYY) PIN (4 Digits) E-mail Address Please E-Mail me about Library news and events Notice PreferenceE-mail Phone Text AGREEMENT: I understand that I am responsible for all use made of my library card and I agree to abide by library rules. This card may be used at all publiclibraries in Clackamas County. Policies and offered services vary between libraries. Information about a member’s record cannot be given to anyone but the member. Applicant Signature Date Parent/Guardian Signature Parent/Guardian Print Barcode IdentificationVerified by staff Mapped Residence Area Proof of AddressYes No GEN/TEMP/PP/EDU/NON-MIX Notes Staff
