Library Card Application – Adult – Liberal Memorial Library

First Name / Nombre: *

Middle Name:

Last Name / Apellido: *

Mailing Address / Direccion: *

City, State, Zip / Ciudad, Estado, Codiga Postal: *

Other City, State, Zip not listed above

Phone / Telefono (Your preferred contact phone number)

Optional - Other phone (A second phone, home or cell, that you can be contacted by)

Optional - Password:0 / 7

Birth Date / Fecha de nacimiento *

Your Email *

Notification Preferences *TextEmailOnly by phoneWould you prefer to receive text or email notifications about items on hold for you or overdue items?

Mobile Phone # to receive texts

Your Mobile Phone #

Your Mobile Telephone Provider (AT&T, PTCI, Sprint, Straight Talk, T-Mobile, Tracfone, United Wireless, etc.)

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