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Library Card Application PDF Print E-mail

Orange Beach Public Library
Application for Library Card



Bring the completed form and identification to the Orange Beach Public Library.



 



Name (Last) ______________________(First)______________________ (Middle)__________


E-Mail_____________________________________ Date of Birth _________________________


Local Address ___________________________________________________________________


___________________________________________________________________


Permanent Address ______________________________________________________________


______________________________________________________________

(City) (State) (Zip Code)


Local Phone Number ___________________________


Permanent Phone Number ________________________


Drivers License Number & State _________________________________


SIGNATURE_____________________________________ Date ___________________________

(Please read below before signing)


If under 13 years of age, name of responsible parent/guardian


Parent/Guardian Signature _________________________________________________________


Print Parent/Guardian Name ________________________________________________________



NOTE TO PATRONS: The issuance of a library card involves privileges and responsibilities. Free use
of library materials requires your agreement to abide by library rules. All library policies are
available for viewing in the "Policies of the Orange Beach Public Library" policy manual.
Respect for library materials and other library users is required for all library patrons.
Your signature constitutes an agreement to abide by the rules of the library.



Please do not write below this line.



Barcode No._________________ Application taken by___________


Dr. Lic. # & State___________ Personalized check _____ Utility Bill_________


Other ID (Specify) _____________________

 
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