Adult registration form lakeland test

Please read the instructions and fill out the form below to sign up for your free library card. By applying for a library card using this form, you agree to receive communication from Lakeland Library Cooperative and its member libraries via email.

Email Address

First Name Legal Name on Identification

Preferred First Name This could be a nickname or a different chosen name.

Last Name Please enter last name as one word.

Address

Apartment, building, suite, unit, etc.

City

State

ZIP Code

Birth Date

Phone Number

Government ID Driver's License, Michigan ID, Passport, Military, etc - Please enter the NUMBER on the document.

A member library card entitles the cardholder to use the services of the Lakeland Cooperative member libraries subject to the rules and procedures of the library used. The cardholder is responsible for the return of, and for any loss or damage to, all materials borrowed with this library card, and also to pay fees or charges established under the above rules and procedures. I agree to pay fees or charges established under the rules and procedures of the library used.

I Agree.

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