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County Library and Information Service

User information



 

Application for library membership



 

Please complete this form.

We will process your application and issue your membership card within five working days.

* indicates a required field.


 Title
First Name(s) *
Last Name *

 


Your Date of Birth *


Year

 


Gender *

 


Address *

 
Your home telephone number

 

 
Your work telephone number

 

 
Your mobile telephone number

 

 
Your email address

 

 
 
 
Postcode *

 
 
 

At which library do you wish to register?

Select from the list 

This is for administrative purposes only - once you receive your card, you can use it at any library.

Equal Opportunities Monitoring

Lancashire County Council are committed to promoting access to services for all. To help us monitor the effectiveness of our library service and develop our services to meet your needs, we ask you to complete the section below.

Disability

Select any that apply from the list.


Visual Impairment

 
Deaf/Deafened

 
Hard of Hearing

Learning Disability

 
Physical Disability

 
Mental Health Difficulties

 

Ethnic Origin

Select from the list.

Communications

By joining the library, I agree to

We may contact you from time to time by post, e-mail or telephone to give you information about our library events and services.  Please check this box if you do not wish to receive these messages from the library.

Data Protection Act 1998: The information on this form will be kept and used in the County Library Computer Systems under the terms of the DPA 1998 and will only be used in connection with the operation of the library and information service. In case of query please contact the nominated LCC Data Protection Officer at PO Box 100, County Hall, Preston PR1 8RJ

  

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