Library Card Application
Gorham Resident - Adult

Personal Information:

First Name*
Middle Initial (if applicable)
Last Name*

Mailing Address:

Mailing Address*
Apt./Suite (if applicable)
City*	State*	Zip Code*

Contact Information:

Email Address
Telephone Number

If your street address is different from your mailing address, please provide your street address below. If your mailing address is a P.O. Box, this section is required as part of your proof of residency. Thank you.

Street Address:

Street Address
Apt./Suite (if applicable)
City	State	Zip Code

Notification Preferences:

If you have a library item on reserve, would you prefer to be notified by email or by phone when it arrives?
Email Phone

Would you like to receive our newsletter and notices of library events by email?
Yes No

Agreement:*

I understand that by completing and signing this application, I agree to the Baxter Memorial Library Borrowing Rules. The full policy is available at www.baxterlibrary.org or at the library.
I understand

I understand that my library card or valid photo ID must be presented to check items out on my library account. Furthermore, I understand that to pick up a reserved item I must present the library card used to reserve that item. Accounts and reserves can only be accessed with the associated cards.
I understand

I understand that I am responsible for all items checked out on my library account and I will pay for any lost or damaged item; replacement copies are not accepted. Furthermore, I am aware that items more than 45 days overdue may be considered "lost" and that if an item has been designated as "lost" it is no longer eligible for return and replacement costs must be paid.
I understand

I will sign this application when I pick up my library card at the library. I understand that valid photo identification and proof of residence will be required to pick up my library card. (Students through Grade 12 may use their school and grade as ID/proof of residence)
I understand

Baxter Memorial Library

71 South St. Gorham, ME 04038 (207) 222-1190

Monday: 9 A.m. - 4 p.m.
Tuesday: 9 a.m. - 7 p.m.
Wednesday: 9 A.m. - 7 p.m.
Thursday: 9 a.m. - 7 p.m.
Friday: 9 a.m. - 4 p.m.
Saturday: 9 a.m. - 1 p.m.
Sunday: closed

Library Card Application
Gorham Resident - Adult

Baxter Memorial Library

71 South St. Gorham, ME 04038 (207) 222-1190

Monday: 9 A.m. - 4 p.m. Tuesday: 9 a.m. - 7 p.m. Wednesday: 9 A.m. - 7 p.m. Thursday: 9 a.m. - 7 p.m. Friday: 9 a.m. - 4 p.m. Saturday: 9 a.m. - 1 p.m. Sunday: closed

Library Card Application Gorham Resident - Adult

Monday: 9 A.m. - 4 p.m.
Tuesday: 9 a.m. - 7 p.m.
Wednesday: 9 A.m. - 7 p.m.
Thursday: 9 a.m. - 7 p.m.
Friday: 9 a.m. - 4 p.m.
Saturday: 9 a.m. - 1 p.m.
Sunday: closed

Library Card Application
Gorham Resident - Adult