ContractLibrary Card Application • September 19th, 2022
Contract Type FiledSeptember 19th, 2022Applicant Information: Please print. Last Name First Name Preferred Name Middle Home Address (No P.O. Boxes) Apt. # City State ZIP Phone Email Date of Birth (MM/DD/YYYY) Ohio ID # Communication Preferences: Please select one per question. I would like to receive courtesy notices via: Phone Email Text I would like to receive overdue notices via: Mail Email Cardholder Agreement & Signature I agree to observe all rules established by the Library, and will be responsible for all materials borrowed on my card and any charges incurred on my card. I will notify the Library immediately if my library card is lost or stolen, or if any of this information changes. I understand that I am accepting financial responsibility for the cost of materials borrowed on my card. I understand that the Library is only collecting personal information that is required to obtain a library card and that such information is accessible by all CLEVNET member libraries. Applicant Signature: Date: Parent or L