Fill out the form and click on Submit to apply for the Homebound Delivery Service from the Des Plaines Public Library. This service serves residents of the City of Des Plaines who are homebound.
Library Card Number:
Health Condition that makes Homebound Delivery Service necessary:
Neighbor, friend or next of kin: Name Phone e.g. 847.827.5551
Check the types of materials you would like and enter in the approximate quantity of each item you would like delivered each month.
List your favorite authors and performers of music.
Check your Fiction preferences.
Check your Nonfiction preferences
List any other preferences
By applying for this service, I give my permission for Des Plaines Public Library personnel to use my library card to check out materials for me.
Printer-friendly page
