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Grant Library Card Application

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Grant Library Card Application Powered By Docstoc
					Non-resident Library Card Application
Opening the Doors Wider Grant Program
Lebanon Public Library

Please fill in the information and print the document. Bring the completed form to the
Library with your current picture identification. Library staff will verify the information
from your ID and issue the actual library card at that time.

Name
Last :                               First:                                Middle Initial :

Home Address
Street:                              City:                                 Zip Code:



Telephone:

Email Address:

Driver’s License Number:

Date of Birth:


Linn County is one of only a few counties in the state of Oregon not to have universal,
tax-supported library service. All of the city libraries in Linn County are funded by
property taxes paid for by residents within the city limits. Non-residents must pay a fee
when they register if they want full library services. The purpose of this grant is to attract
new non-resident patrons to the local libraries to give them an understanding of what
universal library services might look like.



FOR STAFF USE ONLY

        Year One                  Grant $44                  Patron $5

        Renewal One               Grant $36.50               Patron $12.50

        Renewal Two               Grant $24                  Patron $25


This project is supported in whole or part by the Institute of Museum and Library Services through the
Library Services and Technology Act, administered by the Oregon State Library.

				
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