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MPL Card Patron Information Adult

Marengo  Public Library Card Patron Information                     Adult

 

 Patron # _________     Resident of ______________ Zip Code__________

 

I ____________________________________, agree to obey all the rules and regulations of the Marengo Public Library. I agree to pay all fines against me for damage or loss of any property  of the Marengo Public Library. I agree to give  immediate notice of any change in contact information to  collect any fines /reparations .

 

  Signature _______________________________                    Date ____________________

 

 Home Address _________________________________________________________________________                                        

 

                ____________________               _______________________                ___________________

                           Cell Phone                                              Work Phone                                    Home Phone

Email Address _______________________________________________________________________ 

 

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Marengo Public Library Computer/Internet User  Agreement:

I understand  and abide by the computer and internet user policy. I understand that I will pay for any repair or replacement cost of damages to equipment  or software that occur during my usage.

 

Signature__________________________________         Printed name  ____________________________

                                                               

 

 

Librarian initials ___________                            Date__________________