COA Non-Student Library Card Request

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Please fill out this online form to have a library account created for you. Once the form is filled out COMPLETELY a confirmation email will be sent to you that your account has been created.
Once the form is filled and your account is created you will receive an email from the COA Library with your library card information.

By signing this form you are acknowledging,

'I agree to obey all policies and rules of the Library and to pay all fines and fees charged against me for the damage or loss of books and other materials.'

Email *

Which county are you located in *

Please enter your Drivers License Number for Identification Purposes. *

Please enter your first name, middle name, and last name *

Please enter your date of birth. Ex: 01/05/1988 *

How do you Identify? *

What Pronouns do you prefer? *

Please enter your current full address: Street or P.O. Box *

Please enter your current City. *

Please enter your current State.
*

Please enter your current Zip Code.
*

Please enter your phone number with the area code where you can be reached. Ex: 000-000-000 *

I agree to obey all policies and rules of the library and to pay all fines and fees charged against me for the damage or loss of books and other materials. *

Agree

Required

A copy of your responses will be emailed to the address you provided.

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