Library Card Application Form
Please enter a valid phone number.
Street Address Line 2
State / Province
Postal / Zip Code
What is the expected duration use of the library card?
More than 12 months
What's the reason for applying to a library card? Please specify.
(student, research, borrowing a book, etc.)
Would you like to receive periodic emails about library news, special events and activities
I understand the full responsibility for the use of this library card and all charges associated with its use. I verify that the information on this form is correct.
Should be Empty: