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Library Card Registration Form

Library cards will be issued by mail upon processing by BHML Staff.

To be eligible for a BHML library card you must be:*
Select one.
- Year-round resident
- Seasonal property owner
- Summer visitor ($35)
- Non-resident (peninsula employee)
Name*
First Middle Last
Middle Initial is sufficient.
Address*
Please provide your local mailing address.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Permanent Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Phone*
Birth Year*
For demographic purposes only, please tell us what year you were born.
Sign me up for your monthly e-newsletter.*
- Yes
- No
Consent*
I agree to the lending policy.
I agree to return all library materials to Boothbay Harbor Memorial Library. I understand I am responsible for any and all replacement costs for lost or damaged items.
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