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What type of library account are you applying for?
Permanent, Full-Time Resident Card
Temporary Resident Card
Digital Access Card
Name
First Name
Middle Initial
Last Name
Date of Birth
Driver's License #
Address
Address
City/Town
State/Province
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Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East)
Armed Forces Americas
Armed Forces Pacific
California
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District of Columbia
Federated States of Micronesia
Florida
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Guam
Hawaii
Idaho
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Kentucky
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Maine
Marshall Islands
Maryland
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Prince Edward Island
Quebec
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Yukon
ZIP/Postal Code
Primary Phone
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Family members can pick up, know about, and renew my library materials.
- Select -
Yes
No
If you would like to submit a scanned copy of your driver's license with this application, you may do so here.
Choose File
One file only.
100 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, jpg.
Acknowledge ID
I understand that for my application to be processed, I must submit a scanned copy of my driver's license or other state issued ID, as detailed in the directions at the top of this form.
Acknowledge Deposit
I understand that a Permanent, Full-Time Resident Card for non-local residents requires applicants to submit a non-refundable $20 deposit, as detailed in the directions at the top of this form.
Pay through Paypal.
Certification
By submitting this application you agree that when using your Marshall County Public Library account, you will: observe the rules of the lending institution; assume responsibility for the safekeeping and return of library materials; pay any fines or damages charged to your account; promptly give notice of any changes in address or phone number information.
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