New Brunswick Public Libraries

NBPLS Library Services by Mail Registration Form

Individuals who are interested in receiving Library Services by Mail are asked to fill out this form. For information about Library Services by Mail, visit the webpage or contact the Library Services by Mail team:

1-888-759-3535

LSBM-SBPP@gnb.ca

Please note: You must have a library card to sign up online. If you do not have a library card, please call the Library Serices by Mail team.

Your contact information:

First Name: 

Last Name:   

Telephone:    

Mailing Address: 

City or Town: 

Postal Code:    

Name of a Parent or Legal Guardian
(for applicants younger than 13):

Year of Birth: 

Note: The year of birth is collected to measure the use of our services by patrons of different age groups and to better plan services based on user demographics.

Your Library Card Number:29525 

Email (Required): 

Please indicate if you agree to be contacted for the following purposes:

I authorize Library Services by Mail to send me promotional information by phone or by mail. Occasionally, public libraries send out information to their patrons to promote new programs and services, special activities and events or information of local interest. Please note that this option will not affect the delivery of overdue notices, replacement bills or collection agency notices. This type of communication is related to your obligations when you borrow materials; therefore, you will receive these notices even if you have indicated that you do not wish to be contacted by the service.

I authorize the New Brunswick Public Libraries Foundation to send me information regarding its campaigns and fundraising activities by phone or by mail. The New Brunswick Public Libraries Foundation is a charitable organization that raises funds in support of New Brunswick's public libraries.

Eligibility to Use Restricted Alternative Formats for People with Print Disabilities

Do you have a print disability due to a vision impairment, learning disability or physical disability in accordance with the definition provided for "perceptual disability" in the Canadian Copyright Act?

If yes, please select the perceptual (print) disability that applies to you (optional):

A visual disability: severe or total impairment of sight or the inability to focus or move one's eyes. 

A physical disability: the inability to hold or manipulate a book. 

A learning disability: an impairment relating to comprehension. 

Agreement

I acknowledge that I have a perceptual disability as defined under the Canadian Copyright Act and that I may be called upon to provide proof of such disability from a competent authority. Competent authority is defined to include doctors of medicine, ophthalmologists, optometrists, registered nurses, registered therapists, professional staff of hospitals, institutions and public agencies (e.g., vision rehabilitation specialist, social workers, case workers, counsellors, teachers and school district superintendents). A CNIB client number will be accepted as a competent authority. Library materials restricted to people with print disabilities (e.g. DAISY talking books) are for my personal use only. I will not copy, share or redistribute these materials.

I acknowledge and agree to these terms and conditions: 

Signature:


 Date: 

Language in which you prefer to be contacted?

English

French

English

French

What is your language preference for library materials?

English

French

Both

English

French

Both

Every effort will be made to provide materials that meet your needs through the Library Services by Mail. However, limitations may apply due to demand or Canada Post Library Mail Rate program restrictions.

Submit form

Press submit (below).