Library2Go

 

                                                                                                                                                                                                       

LIBRARY2GO

 

LIBRARY2GO is a homebound delivery service provided by the Derby Public Library and the Derby Rotary Club to library cardholders of the Derby Public Library living in the USD 260 school district.  This program enables people who are unable to visit the library due to illness, age or disability to receive library materials on a regular basis.  The DPL reserves the right to limit the number of participants, items loaned, and deliveries to homebound patrons.

 

Please fill out the form below and press send.  By submitting this form you agree to abide by the rules of the Derby Public Library as set forth in the Statement of Policy, and to notify   the staff of any change in name and/or address.

First Name: *
Last Name: *
Phone Number: *
Do you have a Derby Public Library Card: *


If yes, what is the card number:
Should be 14 digits
Name of retirement home :
if applicable
Delivery Address: *
Delivery Address 2:
City: *
State: *
Zip Code: *
Email Address:
Reason for requesting service: *
I would like: *
check all that apply




I am interested in reading:
check all that apply












My favorite authors and/or subjects are:
How many books would you like to receive every month?: *
Enter your email adress if you'd like to get a copy:
Enter the text you see below: *

Not readable? Change text.
* Indicates required field