Company Card form

Thank you for requesting a company library card from the Des Plaines Public Library. To obtain a card, return one signed copy of this letter, along with one piece of photo identification for the person designated as company representative (for example, a photocopy of his/her driver’s license or state identification card*). The library card will be mailed to the designated person.

If your company currently has a card, it will be updated for one year;
you will not receive a new one. If the card should become lost at any time, notify the library immediately.

I designate (please print) _______________________ as company representative for the 2008-2009 calendar year. The company will be responsible for all items checked out on the card. The library card issued is valid for one year and can be used only at the Des Plaines Public Library.
 

________________________________
Signature of Company Officer        
__________
Date

________________________________
Company
 

________________________________ 
Address  

__________________
Phone
________________________________
 
___________________
Zip

If you have any questions about the use of this card, please phone the Registration Desk at 847-376-2787. Print this form, fill it out and mail to Des Plaines Public Library, Registration, 1501 Ellinwood Street, Des Plaines, IL  60016 or fax it to 847-376-2837.

Sincerely,

Becky Wenzel
Registration

*When faxing a photocopy of an ID card, please send an enlarged image.

 

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