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Home Library Customer Declaration Form

Personal Information

Please complete all fields.

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


*Which is your nearest branch?



*We will contact you to complete the application process. Please provide a telephone number and/or 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.