* All mandatory fields must be completed

Card Number * If you are not a member please join the Library

Name *

Phone/Mobile

Email Address

Language Requested:

Material Requested

• Adult Fiction
• Adult Non-Fiction
• Junior Fiction
• Junior Non-Fiction
• Other

Fiction

• Adventure
• Historical Fiction
• Sagas
• Romances
• Detective
• War
• Science Fiction
• Other

Non-Fiction

NOTE: Not all non-fiction can be supplied

• Cooking
• Health
• Biographies

Additional Information

Number of items:

• 10
• 20
• 30

Length of loan *

• 3 months
• 6 months

Which library you would like to collect them from:

• Liverpool
• Carnes Hill
• Casula
• Green Valley
• Miller
• Moorebank

Privacy

• I understand that Liverpool City Council records personal information, including email addresses for the purposes provided. We will not disclose your details without prior consent.