Organisation Library Membership Application Form
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
County
Postcode
Home Phone Number
*
-
Area Code
Phone Number
Mobile Phone Number
-
Code
Phone Number
Email
*
example@example.com
Upload a passport style photograph
*
Upload a File
Cancel
of
Upload a letter detailing why you require access to the library
*
Upload a File
Cancel
of
I agree to treat all library property with due care and respect
*
I understand that in the event of loss or damage to items borrowed from the Library, I will be responsible for meeting any repair or replacement costs incurred
*
I agree to abide by the rules and regulations of the library
*
Signature
*
Submit
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