Library Card Registration Form (Royal Oak residents only)

2. ATTENTION:
   If you already have a library card and you submit an application for a new one you will get A NEW CARD NUMBER and your old card will be inactive.

   If you already have a library card and you submit an application for a new one you will get A NEW CARD NUMBER and your old card will be inactive.

4. First Name*

5. Middle Name*

6. Last Name*

8. Street Address*

10. City
    Royal Oak

    Royal Oak

11. State
    MI

    MI

12. Zip Code*

14. Telephone Number*

15. Email Address*

17. Date of Birth*
    Date of Birth

18. Drivers License Number*

Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field