CCPLD Library Card Application

Library Card Application Residents within the Coal City Public Library District boundaries may apply for a card. To apply, please fill out the following form. (Parent or guardian must fill it in if the applicant is under 18 years of age and enter their name in the field for responsible adult.) You will be emailed a temporary library card number within two business days, which you may use immediately to access eAudiobooks, eBooks, eMagazines, eMovies, eMusic and login to access online resources. This card will be valid for one month from the date of issue. You can pick up your library card by providing proof of residence in the form of picture identification with a currently valid library district address (or a valid picture identification and a piece of mail with your name and current address) and signing for your card. At this time the card will be extended for the full 3 year term. Please note: you must be eligible for a Coal City Public Library District card in order to receive an account. You are eligible for a card if you pay taxes to the library district. If you are unsure of your library district, you can complete the application process and the library will contact you and let you know if you are eligible. Patrons from another library district will need to inquire with their home library about their services. First Name required Middle Initial required Last Name required Street Address required Address Line 2 City required State required Zipcode required Phone Number (###-###-####) required Email Address required Birthdate (MM/DD/YYYY) required for statisical purposes only Gender required for statisical purposes only Male Female I agree to be responsible for all materials borrowed on this card, to follow the rules and regulations governing the use of the library's materials and facilities, and to give prompt notice of any change in my address or phone number. required Yes, I agree No, I do not agree - please cancel my application If card is for a child (17 and under) please enter the name for the responsible adult. Comments Please enter the verification code below: Please note that solicitations made via this form will not be acknowledged.