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Books By Mail Registration Form

"*" indicates required fields

Name*
MM slash DD slash YYYY
Do you have an Arlington Library Card?*
Do you live in a Senior Living Community?*
Address*
You must be an Arlington resident to receive Books by Mail service.

Secondary Contact Person Information (Optional)

Name of person (family member, friend or caregiver) to call if we cannot reach you for an extended period of time
Contact Person Name
Who will be the primary contact?*
Preferred method of communication*

Reader Questionnaire

Please help us meet your reading needs by answering the following questions
Which print format(s) would you like to receive? (Check all that apply)*
NOTE: If physical or visual impairments make it difficult to read print, please ask us about the free Talking Book service.
Do you use an electronic device (e-reader or tablet) such as Kindle or iPad to read e-books?*
Would you like help accessing the library’s eCollectionon your device?*
Would you like us to make selections for you?*
Would you like us to send books to you as soon as we receive your returns (turnaround service)?*
If you have selected turnaround service, how many books would you like to receive at a time?*
(Please note that this is approximate – you may receive more or fewer depending on availability and U.S. Postal Service delivery times)
Select as many as you wish by pressing the "CTRL" key and your selection
I 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 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.*

Now What?

Once we receive your application, we will contact you, usually by phone, to confirm your preferences. We will then set up or modify your library account and get you started with the service.
This field is for validation purposes and should be left unchanged.

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