Library Card Sign-Up Form

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Library Card Sign-Up Form

Eaton Rapids Area District Library

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* Indicates required question

First Name *

Your answer

Middle Initial

Your answer

Last Name *

Your answer

Street Address *

Your answer

City *

Your answer

State *

Your answer

Zip Code *

Your answer

Email Address

Your answer

Phone Number

Your answer

Mobile Phone *Provider* (if you wish to receive text reminders from the Library)

Verizon

T-Mobile

AT&T

Sprint

Other:

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Date of Birth *

MM

/

DD

/

YYYY

Preferred Contact Method *

Email

Text

Cell Phone

Home Phone

Work Phone

Required

Would you like to receive the newsletter email?

Yes

No

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Next

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