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Library Card Application
I, a resident of _______________________________________
hereby agree to obey all the rules and regulations of the library, to pay promptly all fines charged against me for the injury or loss of books, and to give immediate notice of any change of address.

Full Name _____________________________________________________

Ceresco P.O. Box _______________________________________________

Address ______________________________________________________

Phone Number _________________________________________________

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Age if under 14 ______    Parent's signature ___________________________