HomeMy WebLinkAboutHome Delivery Registration Form ushkosh Public Library
Home-Delivered Book Program
It can be tailored specifically to you.
You can get books monthly, bi-weekly,
or call when you're ready for one (or
more)!
Magazines, books, audiobooks, music
CDs, and DVDs are all available for
delivery
There are no fines with this program.
No reason to worry about losing,
anything.
Home delivery can be suspended at any
time..
Folks on home delivery can still request
titles, authors.
To learn how YOU can get books,
OSHKOSH PUBLIC movies and magazines delivered to
LIBRARY your house, call Sandy at
920-236-5206
HOME'
Home Delivery DFL VERY SERV CE Registration
Name:
(P€ease Print) Last First Middle
Address:
Apt. /Room ft
WI
City Zip Code
Group Site:
Phone: Date of Birth:
E-mail:
Emergency Contact: Phone:
Name:
Address:
Relationship:
U-1 May we keep a reading list for you to avoid duplication of titles selected and
delivered to you? U Yes JNo
LQ Do you prefer your books to be (please check all that apply):
• Large print books 11 Regular print books
• Books on CID J Soft cover/light weight
11 Other:
IQ] Are there other library materials you would like delivered to you?
El Music on CID [type of music:
• Magazines [title:
• Movies on DVD [types of movies'.
W How many library materials would you like delivered to you each month?
J 2-3 U 4-6 :18-10 :j,Other:
0-3, Do you like to read ...? (Please check all that apply):
J Fiction 0 Mysteries/suspense :1 Romance novels
• Westerns LJ Science fiction
• Current fiction J Inspirational
0 Historical fiction :1 Other-
C1 Non-fiction
Cl History ❑ Art/music ❑ Other:
❑ Current events ❑ Outdoors
❑ Biographies ❑ Crafts/hobbies
❑ Travel ❑ Religion
❑ Sports
Q My favorite authors/books are (please list):
Oshkosh Public Library - 106 Washington Avenue, Oshkosh, WI 54901-4985
Phone (920) 236-5206—tolandGoshkosbptrbliclibrary.org
For Library Use Only
Date:
Patron Card Number:
Patron Card Number:
❑ Selects:
❑ Delivers:
Group Home? ❑Yes ❑No
Comments or special instructions: