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Home Service Application
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Contact Information
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Do you currently have a library card?
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Is your walkway/driveway cleared in the event of snow?
Yes
No (if so, we may not provide service during the winter months)
Do you have a pet?
Yes (if so, pet must be secured during delivery)
No
Please share anything else we may need to know in order to safely deliver library materials:
Reading Interests
How many books would you like to receive each delivery (limit 10):
1
2
3
4
5
6
7
8
9
10
What format would you like?
Regular print
Large Print
Audiobook (CD player required)
Fiction (select all that apply)
Classics
Romance
Fantasy
Science Fiction
General Fiction
Short Stories
Historical
Suspense/Thriller
Mystery
Western
Other - specify below
Other Fiction
Nonfiction (select all that apply)
Arts & Crafts
History
Biography
Poetry
Cooking
Psychology
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Religion
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Health
Travel
Other - specify below
Other Nonfiction
Specific Authors:
Other Interests
How many additional items would you like to receive each delivery (limit 5):
1
2
3
4
5
DVDs (select all that apply)
Adventure
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Nonfiction
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Sci-Fi
Foreign Language
TV Shows
Horror
Western
Additional Information:
Music CDs (select all that apply)
Classic
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Pop/Rock
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Religious
Hip Hop/Rap
R&B
Holiday
Soundtracks
Jazz/Blues
World Music
Additional Information:
Magazines (select all that apply)
Business/Finance
News/Current Events
Cooking
Pop Culture
Fashion/Beauty
Science
Health
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Travel
Additional Information:
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