Norwalk Public Library System 
 ADULT
Library Borrower's Card Application
 

Library borrower and circulation records are confidential and exempt from Freedom of Information requests.
All information requested below is intended to help the library serve you better.
 

You must
bring ID and proof of Norwalk residency with you when picking up your card.
Pick up your library card at the Main Library, 1 Belden Ave.

Click here for a complete list of acceptable identification. 

*
Required Information

Last Name:*       First Name:*
Middle Name:   Check if:   Jr. Sr. III IV   
Street Address:* Apt.:           
City:*                  State:*          
Home Phone:    Zip:*             
Email:         Cell Phone:  

2nd Address (Place of Employment or Other)

Name of Business: Phone:
Street Address:     City:   
State:                                 Zip:    

 

Date of Birth:*       mm/dd/yyyy
Sex:*                  
Social Security:     (Optional)
Driver's License Number* State/Country* Exp. Date*

I am responsible for all materials borrowed on this library card and will pay all
 late charges and fees for damaged and lost materials.

I will notify the library if my card is stolen, or if I change my address.


I Agree    I Disagree

        

Revised February 2006  

 

Norwalk Public Library©2008
NPL Webmaster