Purpose: The Homebound Services Books by Mail program helps fulfill the Library's mission by offering services to customers physically unable to visit the Library. Patrons must live in the city of Richardson to qualify.

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Please answer the following questions:

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Please answer the following questions:

First Name:

Last Name:

Address

Zip Code

Best contact phone:ext.

Email Address:

Secondary Contact Name

Secondary Contact Phone Numberext.

Secondary Contact Email Address

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I understand that I assume financial responsibility for the materials I receive. I will make sure the materials are returned on time by placing the items in the labeled mailer supplied by the Richardson Public Library and mailing it back at no charge if the mailer supplied is used. I understand that I will become ineligible for this service if I do not return library materials in a timely manner.

I also understand that this service replaces in-person borrowing and use of the library materials.

By submitting the online application, your electronic signature represents and warrants that the answers you have given are complete and true and you understand and agree to all that is discussed within the application.

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Full Name

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