Author: Grant LLC

Grant Area District Library
Books by Mail Service

Patron Registration Form
Name: ______________________________________________________________________________
Address: ____________________________________________________________________________
City: __________________ State: Michigan Zip: ______________ Phone:____________________
Email: ______________________________ Date of Birth: ________________________________
Library Barcode: ______________________________________________________________________

Please provide us with a personal contact in the event we are unable to reach you:
Name: ________________________________________________________________________________
Phone: ________________________________ Relationship to you: ___________________________

Patron Preferences
1. Preferred Formats (check all that apply):
___ Large Print ___ Regular Print ___ Paperback ___ Audio books CD
2. Type of books desired (check all that apply):

Fiction
___ Adventure
___ Amish
___ Fantasy
___ General
___ Historical
___ Inspirational
___ Mystery
___ Romance
___ Science Fiction
___ Suspense
___ Western
___ Other _________________

Non Fiction
___ Biography
___ Any type
___ Celebrity
___ Historical
___ Political
___ Culinary/Cookbooks
___ Health
Topic _________________
___ History
___ Poetry
___ Religion
___ Travel
___ Other ___________________

I give the Grant Area District Library permission to keep track of my reading
history. This makes it easier to keep track of what books you have read so
we don’t send the same book twice.

Please feel free to add a note to the book bag at any time
with suggestions, complaints or new requests.

Please notify the library if any information on this form changes
231-834-5713

Grant Area District Library
122 Elder Street
Grant, MI 49327

Grant Area District Library
122 Elder Street
Grant, MI 49327
Attn: Books by Mail Dept.