Lake Worth, Florida.   The Art of Florida Living.

Adult Library Card Application Form

First Name *
Middle Initial
Last Name *
Local/Home Address *
City
State
Zip
E-Mail
Local/Home Phone *
PIN number for online account access *
Other Address (seasonal residents)
City
State
Zip
Daytime Phone

I Agree to accept full financial responsibility for all lost, late, or damaged materials checked out on my card. I understand that I must present the card each time I check out materials or use the Internet. I will give prompt notice of any change of address or phone number. If fines are not paid, I will not be able to use my library card.

I agree with the above statement

Type of card (select one):
LW resident or Library Cooperative area resident - FREE
Non-resident 3-month membership - $10.00
Non-resident 1-year membership - $30.00


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