Library membership form

If you are 16 or over please complete this form to join the library.
Please read the following:
The information you provide on this form will be held within Herefordshire Council libraries membership database. We may need to share these details with other council colleagues in connection with our services. In accordance with the Data Protection Act 1998 your details will not be used for any other purposes and Herefordshire Council will contact you directly should this information be required for any other purpose. The information you supply will be kept no longer than is necessary, in line with Herefordshire Council's retention policies.

Please read our Privacy Statement for further information.

You are responsible for all items borrowed on your card and for any access to the internet made via your card. Your internet access is not transferable to any other person.

You have also read and understood the library byelaws
I wish to join Herefordshire libraries and agree to abide by the library byelaws. I also agree to Herefordshire Council holding the information supplied for the purposes as stated above.
I agree to the terms: *
Information which must be provided to process this form is shown by an ' * '. All other information fields are optional.
Request to join: *
You can use any Herefordshire library with your library card but you need to choose a home library.
Your details
Title:
First name: *
Last name: *
House name/number: *
Street name: *
Town/City: *
County:
Postcode: *
Contact telephone:
If you give us your email address, we will confirm receipt of your request.
Email address:
Date of birthDay *
MonthYear
Please be sure that you have selected a library to join at the top before you press 'Submit'.

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Last Updated: 25 February 10

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Library membership form

Please read the following:

Your details