Home Library Service - Vaughan Public Libraries

Home Library Customer Declaration Form

Personal Information

Please complete * fields.

*First Name:

*Last Name:

*Phone Number:

Library Card Number:

* Do you have a family member or friend available to pick-up and deliver your items?

Yes No

*Which is your nearest branch?

Bathurst Clark Resource Library
Civic Centre Resource Library
Pierre Berton Resource Library

*We will contact you to complete the application process. Please provide an email address for us to contact you on. If you are completing this form on behalf of an individual, please add your name and contact details.

The personal information collected from you on this form will only be used for the purpose of home library service. Your personal information will not be shared with outside organizations, except as indicated in the Privacy Statement.

Personal Information

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