Brewster Public Online Library Card Application
Register for a library card
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Last Name *
First name *
Middle initial
House number and street address *
Apartment number
City/Town *
State *
Zip/Postal *
Birthdate *
MM
/
DD
/
YYYY
Phone *
Email *
Do you live within the Mid-Hudson Library System area (includes Putnam, Dutchess, Ulster, Green, and Columbia Counties)? *
Do you go to school, work, or own property within the Mid-Hudson Library System area?
Clear selection
Name of school/employer
Address of school/employer
User agreement: I understand that I will be responsible for all use made of my card. *
Required
3+2=? *
Submit
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https://docs.google.com/forms/d/e/1FAIpQLScAj9hyPTPtG0sIGfaACfImL4LR-bF1QrAuUOiBkNOAIU10Uw/viewform?usp=send_form
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