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Library card application and renewal form

2. Is this a new application or a renewal?
   -- Select One --New library card, please.I would like to renew my account.
4. Name
6. Email Address
7. Phone Number
9. Mailing Address
11. Physical Address (if different from mailing address)
13. City
14. State
15. Zip Code
17. Not a resident of Orono, Maine?

    1. $30 Non resident card annual fee
    2. $10 Corporate (employed in Orono) annual fee
    3. Bangor Resident - Free to Bangor residents who have a BPL card in good standing.
    4. Teacher/Staff of RSU 26 - free

    Please send check payable to: Orono Public Library, 39 Pine St., Orono, ME 04473
19. Age Range (for statistics only)
    -- Select One --ChildT(w)een18-2425-3536-4546-5556-6465+
21. UMaine student?
    -- Select One --YesNo
22. Year of graduation
23. Permanent home address
25. RSU 26 Student?
    -- Select One --Kindergarten1st - 5th gradeClass of 2027 - grade 6Class of 2026 - grade 7Class of 2025 - grade 8Class of 2024 - grade 9Class of 2023 - grade 10Class of 2022 - grade 11Class of 2021 - grade 12
26. Pick-up Options for RSU 26 Students:

    1. Pickup at Asa Adams Library
    2. Pickup at OMS/OHS Library
    3. Pickup at Orono Public Library
27. For RSU 26 Students Only
    May we share your library account number with the school librarian for the purpose of assisting you with requesting items and accessing cloudLibrary?
29. Dirigo Pines Inn residents only
    If you are a resident of the Dirigo Pines Inn, we will deliver your items to the Inn, where you can arrange to pick them up with the Activities Coordinator. Click on the "yes" box to the right.

    If you are a resident of the Dirigo Pines Inn, we will deliver your items to the Inn, where you can arrange to pick them up with the Activities Coordinator. Click on the "yes" box to the right.
30. Yes, I would like my items delivered to the Dirigo Pines Inn.

    1. Yes
32. Notification
    We will email you when your application has been processed.

    We will email you when your application has been processed.
33. Comments
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field