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Library Card Application

Last modified November 01, 2007 08:39 AM

Application for State Library card

Full Name (Required)

State Agency / Business / School (Required)

State Agency / Business / School Address 1 (Required)

State Agency / Business / School City (Required)

State Agency / Business / School State (Required)

State Agency / Business / School Zip Code (Required)

State Agency / Business / School Telephone Number

State agency / Business / School E-mail Address

Home Street Address (Required)

Home City (Required)

Home Zip Code (Required)

Home Telephone Number (Required)

Cellular Phone Number

Home E-Mail Address

Check here if you do not want to receive information about State Library services and programs via e-mail

Terms of Agreement

Check here. I agree to abide by the circulation policies of the State Library of Iowa. I understand that I will be held personally responsible for the repair or replacement costs of any materials damaged, lost, stolen, or unreturned which have been borrowed in my name.

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