Library-By-Mail Request Form | Mid-Continent Public Library

Library-By-Mail Request Materials

The ordering form below is for customers who are homebound because of health, mobility, advanced age, disability, and/or permanent or temporary incapacity. Only customers who are approved for Library-By-Mail may use this form. Customers who wish to order materials for pickup at a local branch should visit the online catalog.

All fields marked with * are required

First Name

Last Name

Email Address

Format

Titles Requested

Enter the titles of the items you are requesting. (One item per line; include Author if applicable.)

Other Information

Include special instructions or additional comments here.

I have completed a Library-By-Mail application AND I have been notified of my approval for the Library-By-Mail program

Library-By-Mail Application

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