Books By Mail Registration Form How did you hear about this service?Name* First Last Birthdate (mm/dd/yyyy)* Date Format: MM slash DD slash YYYY Do you have an Arlington Library Card?*YesNoLibrary Card Number*Do you live in a Retirement Community or Assisted Living Center?*YesNoIf yes, which one?*Address* Street Address Address Line 2 City ZIP Code You must be an Arlington resident to receive Books by Mail service.Phone*Email (Optional) Secondary Contact Person InformationName of person (family member, friend or caregiver) to call if we cannot reach you for an extended period of timeContact Person Name* First Last Contact Person Relationship*Contact Person Phone*Contact Person Email Who will be the primary contact?*PatronSecondary ContactPreferred method of communication*TelephoneEmailNote/MailPlease briefly explain why you are requesting this service*Reader QuestionnairePlease help us meet your reading needs by answering the following questionsWhich print format(s) would you like to receive? (Check all that apply)* Regular Type Books Large Print Books No Preference Are you interested in listening to audiobooks on CD? (You will need access to a CD player)*Yes, in addition to my booksYes, but only when I request themYes, I would like to receive ONLY audiobooks on CDNo, I do not wish to receive audiobooks on CDDo you use an electronic device (e-reader) such as Kindle or iPad to read e-books?*YesNoWould you like us to make selections for you?*YesYes, but I will also make special requestsNo, I will contact you with special requests onlyWould you like us to send books to you as soon as we receive your returns (turnaround service)?*YesNo, please wait until I request booksIf you have selected turnaround service, how many books would you like to receive at a time?*1 - 23 - 45 or more (only if you make requests)(Please note that this is approximate – you may receive more or fewer depending on availability and the mail)Which genres do you prefer? (Select as many as you wish)*ClassicsDetective/MysteryFantasyHistorical FictionHorrorHumorLiterary FictionPoetryPolitical ThrillersRomanceSci-Fi ThrillerWesternsNon-Fiction TopicsBiographyCookingCurrent EventsHealthHistoryOtherSelect as many as you wish by pressing the "CTRL" key and your selectionOther genres or topicsWhat are your particular interests?Who are your favorite authors?Additional CommentsI give permission to the Books by Mail Service at Arlington Public Library to keep a record of my reading history in order to select appropriate materials for me.* I agree I understand that I will not be charged late or overdue fines but I will be charged a replacement fee for any books that are lost.* I agree Now What? Once we receive your application and questionnaire, we will enter your information in the system, contact you if we have any questions. If you have asked us to help select titles, we will send you your first selections. Feel free to contact us by phone, email or note if you have any questions or concerns or to let us know how the service is working for you.
