document.write("New Library Card\n"); document.write("
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Request a free library card from the Lycoming County Library System\n"); document.write("\n"); document.write("Please Read


\n"); document.write("You should receive your library card in the mail within 5 to 7 days. If you dont, please call the Circulation Desk at (570) 326-0536. When using the card for the first time to check out materials, you will need to present photo identification verifying your current address or two forms of ID without photo ID. Cards won't be issued to those who already have an existing library card or who have overdue items on an existing card. *= required to submit form\n"); document.write("
*Library I use the most: \"You 
*Last Name: *First name: Middle name/initial
*Street Address: Apartment:
*City: * Borough/Township:
*County: *Zip Code:
*Home phone: Work phone:
*Email:
example: myemail@email.com
*Gender:  
*Birth date: (mm/dd/yyyy) \"You Choose a 4-digit PIN \"PIN
Please note: If you used a post office box number, or similar above for your street address we need the actual street address of your residence. If you're a college student or not a resident please list your permanent home address.\n"); document.write("
Alternate Address:

By submitting this registration form, I agree to take care of all library materials checked out with my card and I will pay fines or charges for all delinquent, lost or damaged materials.

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