| First Name and Full Middle Name (PLEASE USE CAPS)* | |
| Last Name (PLEASE USE CAPS)* | |
| PIN (4 numerical digits)* | |
| Confirm PIN* | |
| Email Address | |
| Phone (incuding area code)* | |
| Street* | |
| City (Note - Liberty Lake residents are currently ineligible for free card)* | |
| Postal Code* | |
| Birth Date (Please use format: MM/DD/YYYY)* | |
| Parent/Guardian name (if under 18) | |
| Card pickup location (or "Mail" to have it sent to you)* | |
| * Indicates required data |
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By clicking "I Agree", you confirm that you have read and agree to follow the Library Card Policy.
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