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For more information about our Homebound Program, call 507.328.2302

Name

Complete Address

Contact E-mail Address:

Is this a senior residence or a nursing home? Yes No
If yes, please provide the name of the residence:

Phone OR Cell Phone:

Library Card Number 11018

Reason for requesting homebound service:
  
 

Do you require books in large print ? Yes No

If the title you request is not available in large print, will you accept regular print ? Yes No

How many items do you want to have delivered each month?

• Books
• Audio books
• Other

What are your favorite authors and types of books?