Public Library Digital Access Card Application
The Digital Access Card can be used to access all of our online services. Eligible patrons must live within a 50-mile radius of Ruby B. Archie Public Library, be 18 or older, and have an email address. Cards must be renewed annually. Once this form is completed, a library staff member will contact you with your card number.
Name
*
First Name
Middle Name
Last Name
Suffix
State or Federally Issued ID #
*
Example: Drivers license number. This information is confidential and allows you and you only to access your account information in the event you lose or forget your library card number.
Date of Birth
*
-
Month
-
Day
Year
Date
Current Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Notification Preference
Text
Email
Cell Carrier if Text Notification is Selected Above
By signing below, I agree to be responsible for this library card and abide by all the rules of the Ruby B. Archie Public Library. I will return materials on time and pay for fines, fees, and damages charged to me. I will notify the Library if my card is lost or stolen and update my contact information when it changes.
*
Submit
Should be Empty: