North Dakota State Library

Library Card Application

If you are under 18 years of age you must complete the Under 18 Library Card Application.

Note: You must be a North Dakota Citizen to receive a library card.

All fields with an * are required.

Last Name:*	A value is required.
First Name:*	A value is required.
Middle Name:
Sex:*	Please select an item.
Birth date:*	Please select an item. Please select an item. Please select an item.
Home Address:* (Box or Street)	A value is required.
City:*	A value is required.
State:	ND
Zip code:*	A value is required.
Home Telephone Number:*	A value is required.
Name of School/Business/State Agency: (Including department number)
Work or School Address:
Work or School City:
Work or School State:
Work or School Zip code:
Work or School Telephone Number:
E-mail Address:	Invalid format.

To which address should materials be sent:*	Please select an item.
Any other information you want us to know:

I agree to observe the Library's rules, take proper care of the materials lent to me, return them when due, and pay promptly for any lost or damaged materials while in my possession. I understand that no other person may borrow on my card. I understand, also, that my privileges will be cancelled if I fail to abide by this agreement.