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Library Card Application
I verify that all information on this form is true and accurate, and agree to all the rules and regulations of the library. Please, when submitting online EMAIL a COPY of your ID to
martinpubliclibrary@gmail.com
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Email
*
Your email
Name
*
First and last name
Your answer
Address
*
Your answer
City
*
Your answer
State and Zip Code
*
Your answer
Birth Date
*
MM
/
DD
/
YYYY
Phone number
*
Your answer
Mobile Phone Provider
Your answer
Notification Preference
*
Text (Make sure to fill in Mobile Phone Provider)
Email
Phone
Required
Would you like to receive our monthly newsletter via email?
*
Yes
NO
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Permanent Address (University Students ONLY): List Street Address, City, State, Zip Code and Home Phone
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