Lunenburg Public Library Card Application
 
We are a member of the CWMARS library system.  If you have a CWMARS card from another library, you do not need another card to borrow our materials.
 
A valid I.D. with current address or multiple proofs of current address -- minimum of 2 -- is required to issue a card.  Applications for children under 18 must be signed by a parent or legal guardian.  Your first library card is free.  Replacement cards cost $1.00.
 
Choose One:  Wallet Card       Keychain Card
 
Please Print:
__________________________________________________________________________________________________
First Name                                 Middle Initial                                       Last Name
Preferred Name(s): ______________________________________________
Date of Birth: _____________________________________
Email: ________________________________________________________ Phone #: _______-_____________________
Street Address: _____________________________________________________________________ Apt. #: __________
City: _________________________________________________ State: ______ Postal Code: ______--____
PO Box: ___________ City: _______________________________ State: ______ Postal Code: ___________
 
Age Group:   Juvenile (Birth -11)      Young Adult (12-17)      Adult (18-59)      Senior Citizen (60+)
 
Hold Notices:   Phone       Email       SMS (text)
Cell Phone Number (for SMS notifications): ___________________________________
Cell Phone Carrier: __________________________________________________________
 
Due Date Receipts:   Print      Email      None
 
Other Authorized Users:
___________________________________________________________________________________________________
 
CWMARS Privacy Policy: The intellectual pursuits of individuals using library or Internet resources are considered confidential information regardless of the age of the borrower.  Such records shall not be made available to any individual or agency except … as may be authorized under the authority of … federal, state, or local law....
 
I agree to be responsible for materials borrowed with this card, including all fines incurred, and for any lost or damaged materials.
Signature of Applicant: ___________________________________________________
Guardian Name (if under 18): ______________________________________________
Guardian signature: ______________________________________________________
 
                                                                                                                                                                                                             Updated 10/19