Homebound Delivery Application

Title

First Name

Middle Initial

Last Name

Suffix

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Telephone

Your Email

Do you currently have an Auburn Public Library or Lewiston PL card?

Yes

No, I need one

If you live in a senior community or assisted care home, please provide the name

TYPES OF MATERIAL

Regular Print

Large Print

Audiobooks

DVDs

Music CDs

Magazines

Optional - provide any additional information in the box below.

For example, tell us about a few of your favorite books or authors. What do you like about them?
Is there anything else you would like us to know? Sensitivities, content restrictions, or other specific interests, etc.

CAPTCHA

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