Orange Beach Public Library Application for Library Card
Bring the completed form and identification to the Orange Beach Public Library.
Name (Last) ______________________(First)______________________ (Middle)__________
E-Mail_____________________________________ Date of Birth _________________________
Local Address ___________________________________________________________________
___________________________________________________________________
Permanent Address ______________________________________________________________
______________________________________________________________
(City) (State) (Zip Code)
Local Phone Number ___________________________
Permanent Phone Number ________________________
Drivers License Number & State _________________________________
SIGNATURE_____________________________________ Date ___________________________
(Please read below before signing)
If under 13 years of age, name of responsible parent/guardian
Parent/Guardian Signature _________________________________________________________
Print Parent/Guardian Name ________________________________________________________
NOTE TO PATRONS: The issuance of a library card involves privileges and responsibilities. Free use
of library materials requires your agreement to abide by library rules. All library policies are
available for viewing in the "Policies of the Orange Beach Public Library" policy manual.
Respect for library materials and other library users is required for all library patrons.
Your signature constitutes an agreement to abide by the rules of the library.
Please do not write below this line.
Barcode No._________________ Application taken by___________
Dr. Lic. # & State___________ Personalized check _____ Utility Bill_________
Other ID (Specify) _____________________
