Homebound Service Application

Community Outreach
Monroe County Public Library
303 E. Kirkwood Ave.
Bloomington, IN 47408
(812) 349-3050 ext. 2058


PATRON PROFILE SHEET

(xxx) xxx-xxxx


(xxx) xxx-xxxx

 


Deliveries are made monthly. Please indicate how many items you want delivered in each category each month. (We will keep a list of items we deliver to you to avoid duplicates. Please let us know if you prefer that we do not keep track of what you borrow.)

 

How many?
How many?
How many?
How many?
How many?
How many?

Areas of interest:


 


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