Contact Information
Name
Date of birth
Address
Phone		Best time to call
Fax
Email
Name and number in case of emergency
Library Card #
	(If you are not a registered borrower your volunteer partner can register you.)
Reading Interests Last book you enjoyed reading Favorite authors
Are you interested in large print books?  Yes Are you interested in books on CD or cassette tape?  Yes Are you interested in information about the free Library of Congress program that provides books and magazines in Braille and recorded books on cassette or CD through the mail? Yes
For further information contact our Circulation Manager at 784-5300.