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Library-By-Mail Homebound Application

All fields marked with * are required

Contact Information

* You must live within the Mid-Continent Public Library service area to qualify for this service
Best time of day to receive phone calls

Reading Interest

Fiction Interests
Select all that apply
Nonfiction Interests
Select all that apply
You can enter several author names separated by commas.
Type of books needed
Type of audiovisual needed
I do not want materials that contain
Would you like us to select materials for you based on your interests
Do you have any additional comments or instructions?
Certification allows the library to ship materials to quailified customers without being charged postage. Learn More..

Authorization

I declare that I am homebound and unable to go to the Mid-Continent Public Library due to health, mobility, advanced age, visual impairment, blindness, physical disability, permanent or temporary incapacity.