Broward County Library


	Broward County Library Card Application & Contract

Please Read before going on to the form below.

Only people who own property in Broward, work or go to school in Broward are eligible for a free library card. We can only issue a library card over the web to people who live in Broward County.

If you work or go to school in Broward County please come into one of our library facilities in order to get a library card.

A library card will be mailed out within 4 business days from the receipt of the application with all the information filled out.

In order to use this card at Broward County Libraries, upon your first visit to one of our locations, you will have to go to the circulation desk and sign the Broward County Library Card Application/Contract Responsibility Statement.

(Note: Fields in RED are REQUIRED)

Today's Date: 05/11/08

Your Name: (Last, First, MI)

Home Address:

Apt. #

City:

State:

Zip Code:

Social Security No.

Home Phone #: (w/Area Code)

Mailing Address:

Apt. #

City:

State:

Zip Code:

School:

Sex:

Age:

Your E-Mail Address: