Request New Items: Homebound Delivery Service
This form is for our patrons who have previously registered for the Homebound Delivery Service offered by the Indian River Area Library. Use this form to request materials & continue the service. Register in person or on our website via the Homebound Patron Registration Form. Read our Homebound Policy on our website so you are aware of all rules and requirements to continue receiving this service. Librarians will not choose items based on preference; the patron must choose each item. Items to request can be found in the Indian River Area Library online catalog (https://indianriverlibrary.booksys.net/opac/iral/index.html#menuHome)
Sign in to Google to save your progress. Learn more
Cardholder Name
Cardholder Phone Number
Library Card Barcode
Requested Item 1: Title, Author, & Format (e.g. Large Print, DVD, Audiobook, etc.)
Requested Item 2: Title, Author, & Format (e.g. Large Print, DVD, Audiobook, etc.)
Requested Item 3: Title, Author, & Format (e.g. Large Print, DVD, Audiobook, etc.)
Are you returning library materials?
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Indian River Area Library. Report Abuse