Waneta T. Blake Library Card ApplicationLibrary Card Application • March 21st, 2017
Marion County Library Card ApplicationLibrary Card Application • November 7th, 2013
Cardholder Agreement: I agree to be responsible for materials borrowed with the card, for all fines incurred, and for loss or damage of materials charged to it.
County of Residence:Library Card Application • July 16th, 2019
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
LINCC LIBRARY CARD APPLICATIONLibrary Card Application • September 18th, 2023
FIRST MIDDLE (FULL) LAST/SURNAME PREFERRED (FIRST NAME) MAILING ADDRESS APT/UNIT CITY STATE ZIP HOME ADDRESS (IF DIFFERENT THAN ABOVE) CITY STATE ZIP PHONE BIRTHDATE PIN (4 DIGITS) E-MAIL ADDRESS Please email me about library news and events! NOTICE PREFERENCEPHONE EMAIL 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 public libraries 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 ID MAPPED Proof of AddressYes No GN/NON-MIX/TEMP/PP RESIDENCE AREA NOTES STAFF
GN/NON-MIX/TEMP/PP MAPPED PhoneLibrary Card Application • September 12th, 2022
FIRST MIDDLE LAST MAILING ADDRESS APT # CITY STATE ZIP HOME ADDRESS (IF DIFFERENT THAN ABOVE) CITY STATE ZIP PHONE # BIRTHDATE PIN (4 DIGITS) E-MAIL ADDRESS Please E-Mail me about Library news and events NOTICE PREFERENCEE-mail Phone Call 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 public libraries 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 ID Proof of Address Yes No RESIDENCE AREA NOTES STAFF
ContractLibrary Card Application • September 19th, 2022
Applicant 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
LIBRARY CARD APPLICATIONLibrary Card Application • November 10th, 2020
Bring the completed form with acceptable photo identification and proof of address to any Morgantown Public Library System location.
LIBRARYCARD APPLICATIONLibrary Card Application • October 7th, 2022
Bring the completed form with acceptable photo identification and proof of address to any Morgantown Public Library System location.
ISHPEMING CARNEGIE PUBLIC LIBRARY BORROWER CONTRACT AND APPLICATION FOR LIBRARY CARDLibrary Card Application • September 18th, 2017
To apply for a library card, you will need to complete this form and provide identification and proof of your current address. For applicants younger than 18 years, your parent or guardian must provide identification, obtain a card, and sign your application.
Computer Use AgreementLibrary Card Application • July 2nd, 2015
My signature below verifies that I understand and agree to abide by the Berkeley County Library System’s Computer/Internet Policy and Acceptable Use Agreement, as written on the reverse side of this form. I understand that failure to abide by these rules may result in loss of my computer privileges.
PLEASE PRINT NEATLY AND FILL OUT FORM COMPLETELYLibrary Card Application • February 10th, 2022
Library Card ApplicationLibrary Card Application • March 8th, 2018
ContractLibrary Card Application • January 29th, 2024
FIRST LINCC LIBRARY CARD APPLICATION MIDDLE (FULL) LAST/SURNAME PREFERRED (FIRST NAME) MAILING ADDRESS APT/UNIT CITY STATE ZIP HOME ADDRESS (IF DIFFERENT THAN ABOVE) CITY STATE ZIP PHONE BIRTHDATE PIN (4 DIGITS) E-MAIL ADDRESS Please email me about library news and events! NOTICE PREFERENCEPHONE EMAIL 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 public libraries 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
