Library Card Form

HLC LIbrary Card Application

Driver's License Number
Date of Birth*
MM slash DD slash YYYY
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
I will be responsible for the return of all materials charged to my card, as well as all chargers resulting from the late return, loss, or damage of those materials. I will also observe the rules, regulations, and acceptable use policies of this, and all other libraries, which are members of the Harrington Library Consortium (HLC). As a student of FPC, I understand that by applying for this card, any other card I once held in the HLC is no longer valid, and I must have my FPC card to check out materials from FPC and any other HLC library*
- I Accept