New Membership: Vermilion Public Library

Full Name *

Address *

City/Town

Postal Code

My home residence is: *

Town of Vermilion, Alberta, Canada

County of Vermilion River, Alberta, Canada

Other

Date of Birth *

This Card is for *

$20 - Family (each individual in the household can get a library card)

$15 - Single Adult (18-64) or Single Senior (65+)

$5 - Single Youth (0-17)

$0 - Institutional or Gift Certificate

Family Membership

Please only fill this out if you are registering for a family membership. List the following information for everyone in the household who will be getting a library card:

First name
Last name
Birth date

Notification Preference for overdues, holds, and expiry

Email Me

Text Me

Phone Me

Phone Number

Mobile Carrier (required if you want a text message)

Email Address *

Do you wish to keep a record of what you have borrowed?

Yes

Privacy Statement

The personal information collected above is used to provide you with library services at participating member libraries of TRAC and The Alberta Library. It may be shared with these libraries to verify membership, collect fines or debts owing, provide information about library services, and for statistical purposes. It is collected under the authority of Section 32 of the Freedom of Information and Protection of Privacy Act and is protected under this act. If you have any questions on disclosure or use of this information, please ask the library manager.

Terms

Please be aware of the following:

Loss of card or change of address must be reported to library staff
Privileges extended with this card may be revoked for cause
This card is not transferable
The cardholder is responsible for all materials borrowed with the card and will abide by the rules and regulations of the library at which this card is used
Parents or guardians are responsible for children under 18 years of age

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