NBPLS Library Services by Mail Registration Form

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. 

How do you receive parcels?

I pick up parcels at the post office

My parcels are delivered to my door

I pick up my parcels at a community mailbox

I pick up my parcels at a mailbox (e.g. roadside)

Other:

What is the size of your mailbox?

Width: cm

Height: cm

Depth: cm

Language in which you prefer to be contacted?

What is your language preference for library materials?

Please check which service you would like to receive (you may only choose one):

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, your mailbox size and/or Canada Post Library Mail Rate program restrictions.