A.K. Smiley Public Library - Application for Library Card


Print and return this completed form to the circulation desk at A.K. Smiley Public Library. 

Borrower Information

Adult Patron (18+)
Juvenile Patron

Last Name
First Name
Middle Initial
Mailing Address
 
City
State
Zip Code
Street Address (if different) 
Work Phone
Home Phone

I agree to comply with all rules and regulations, to pay all fines for damages or lost books charged to me and any person for whom I am legally responsible,  pay non-resident fees if applicable, and to give immediate notice of any change of address.

Signature: ________________________________________________________________________________

 


For Office Use Only Identification:_____________________________________________________________________________________________

Parent/Guardian___________________________________________________________________________________________

Non-Resident__________________City Employee____________________Property Tax_________________________________

*Current Property Tax Statement Required from Non-Resident Property Owners