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Card Application

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Card Application or Authorization for Temporary Cards

Complete this form to apply for a permanent library card.Temporary cards give access while processing the permanent one. Children ages 0–18 in the Pekin school district get free cards.

Card Type

Your Age

Contact Info

Card Type *

New Card
Renew Card
Temporary Card

Library Card Number *

Card Type

Your Age

Contact Info

Your Age

13 & Under
14 - 17
18 & Up

Parent / Guardian Name

Full Name *

Parent or guardian will provide their name for children under 14 years old. Those 14 and over can enter their own names below. Person taking responsibility for the return of all checked out materials and/or replacement costs of lost or damaged items.

Relationship to child *

(mother, guardian, etc)

Card Type

Your Age

Contact Info

Card Holder Contact Information

First Name *

Middle Name

Last Name *

Street Address *

City *

Zip *

Phone Number *

Email for Notices (Overdue, Hold Available, etc.)

Date of Birth *

Card Type

Your Age

Contact Info

New cards - Library Card will be mailed to the address on this form; allow up to 7 days for processing. Renewals will receive an email to verify completion.

Borrowing Policies:

I understand when borrowing books, DVDs or audio discs, I agree to the following:

1.	The library is not liable for any damage to my player or computer that might be caused by the use of library material, DVDs or audio discs.
2.	All materials borrowed from the library are, to the best knowledge of the library staff, in good condition and it is my responsibility to return all items in the same condition or to pay damages.
3.	I am responsible for proper compliance with all licensing and copyright requirements.  I understand that there is a penalty for non-compliance with the Federal Copyright Law 94-553 section 110-1 and agree to use all DVDs for private home use.  
4.	I understand that all DVDs are checked out for one (1) week. I understand that I must be 17 years old to check out Rated R materials.  I understand books are checked out for three (3) weeks.
5. I agree to pay $0.10 per day per item in overdue fines with a limit of $2.50 on all late DVDs and books.

I agree to the above terms by submitting this form.

Be a Part

Discover, Learn,
and Connect with Us!

Bring a photo ID with your current address, or a photo ID + a piece of mail to the library front desk. If you are unsure if your address is within the library service area, please call 309-347-7111.