LIBRARY CARD INFORMATION SHEET

Thank you for applying for a Grant County Library card!  We are eager to help you sign up for your card, but we need a few pieces of information to do so.  First, you must live or work in Grant County to sign up for a card, so we need to see proof of your address or job: for example, a picture ID, a bill, or a paystub.  Secondly, we need proof of your name for our records, so we need to see some form of picture ID.  Finally, please fill out the form below, and you will receive your new card within a week.

First Name											                    

Last Name											

Date of Birth											
Example: 1/31/1970 

Primary Identification Type     						   		
            Oregon Driver License Number

Email Address											

Daytime Phone										

Evening Phone 										

Other Phone											
 

Zip Code											

Mailing Address										

 City												

County 											

State												

Are you in Grant County temporarily?        Yes          NO

If yes please indicate when you expect to leave:  						
								DATE