Books-By-Mail Application Form

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Books-By-Mail Application Form Ocean County Library Books-By-Mail Ocean County Library Books-By-Mail What is Ocean County Library’s Registration Form Books-By-Mail Service? Just what the name says: Library books are (PLEASE PRINT) borrowed and returned by U.S. Postal Service mail. Name: _________________________________________ Who is eligible to use Books-By-Mail? Any homebound individual over 18 who has,or is Address: _______________________________________ eligible for, an Ocean County Library Borrower’s Card and is unable to get into the physical library City: __________________ State ____ Zip Code ________ due to illness or disability. A physician must complete the Medical Verification form. Home Phone: (_______)_________-________ Cell Phone: (_______)_________-________ How does Books-By-Mail Work? Email: _________________________@___________________ Once you have registered with Ocean County Library’s Books-By-Mail service, you will request Emergency Contact: ______________________________________________ books in writing or over the phone. There is a limit of checking out four books at a time. Your items will be package in a special mailer bag. Your local post Emergency Contact Phone: (______)________-___________ Relationship to you: _________________ office will deliver it to your residence. Do you have an Ocean County Library Card? [ ] Y [ ]N How do I return books? Each book is due back at the library on the latest Type of Library Materials Required: date stamped on receipt enclosed with your library [ ] Regular Print [ ] Large Print delivery. To return books, put materials in the same blue mailer bag. Flip the address index card over [ ] Books on CD [ ] Paperbacks so that the “Ocean County Library” address is face out. Attached the plastic safety fastener in the Check GENRE you prefer: See list of popular authors same fashion as when it came to you. (You will find a new fastener inside the mailer bag with your [ ] Fiction [ ] Romance [ ] Mysteries books.) The postage is prepaid by the Library. [ ] Historical Fiction [ ] Biographies [ ] Nonfiction Once your books are ready, call your local post [ ] True Crime [ ] History [ ] Crime office to have them stop at your door to take the Other: ___________________________________ package. There is no charge for Books-By-Mail service but a Medical Verification form must be submitted and I agree to obey all the rules and regulations of the Ocean County Library and its Books-By-Mail Service may be required to be updated periodically. and to give notice of any change of address or contact information. _________________________________________ Date: _____/______/_____ Ocean County Library Books-By-Mail Signature Staff Use Only: 290 Mathistown Road, Little Egg Harbor, NJ 08087 Attorney approved 04-2014 (609) 294-1197 or 732-286-0866 Medical verification returned? Yes Date Rec’d__/__ /__ Staff Initials_______ Favorite Authors (Please check all that you like) Elizabeth Adler Joy Fielding Barbara Kingsolver Anna Quindlen Mitch Albom Fannie Flagg Dean Koontz Luanne Rice David Baldacci Vince Flynn Jayne Anne Krentz Emilie Richards Mary Balogh Dorthea Frank John Lescroart Karen Robards Elizabeth Berg Dick Francis Beverly Lewis J.D. Robb Maeve Binchy Ken Follett Johanna Lindsey Nora Roberts Terry Blackstock Lisa Gardner Elizabeth Lowell John Sandford Barbra Taylor Bradford Dorothy Garlock Robert Ludlum John Saul Lillian Jackson Braun Julie Garwood Debbie Macomber Lisa Scottoline Wanda Brunstetter Elizabeth George Susan Mallery Lisa See Dan Brown Tess Gerritsen Philip Margolin Anita Shrive Sandra Brown Eileen Goudge Steve Martini Nicholas Sparks Elizabeth Cadell Judith Gould Ed McBain LaVyrle Spencer Stephen Cannell Heather Graham Alexander McCall Smith Danielle Steel Laura Child Sue Grafton Colleen McCullough Katherine Stone Agatha Christie Andrew Greeley David McCullough Nancy Thayer Tom Clancey John Grisham Terry McMillan Adriana Trigiani Carol Higgins Clark Kristin Hannah Judith McNaught Margaret Truman Mary Higgins Clark E. Lynn Harris Brad Meltzer Scott Turow Amy Clipston Dee Hendeson Fern Michaels Anne Tyler Harlan Coben Carl Hiassen Linda Lael Miller John Updike Jackie Collins Tony Hillerman Toni Morrison Alice Walker Michael Connelly Tami Hoag Janet Oke Susan Wiggs Robin Cook Linda Howard Michael Palmer Sherryl Woods Patricia Cornwell Elizabeth Hoyt Sara Paretsky Stuart Woods Catherine Coulter Greg Illes Robert B. Parker Michael Crichton John Jakes James Patterson Please list any other authors: Clive Cussler P.D. James Richard North Patterson Janet Dailey Judith Jance Elizabeth Peters ________________________ Jeffery Deaver Iris Johansen Tracie Peterson Barbara Delinsky Jan Karon Anne Perry ________________________ Nelson DeMille Faye Kellerman Jodi Picoult ________________________ Jude Deveraux Jonathan Kellerman Rosamunde Pilcher Eric Jerome Dickey Thomas Kincade Belva Plain ________________________ Janet Evanovich Stephen King Mary Jo Putney Richard Paul Evans Karen Kingsbury Amanda Quick .
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