Apply for a Library Card - Purchase Free Library New York

Incomplete applications will be discarded.

Application

Name*
First Last
Home Address: If you live in Westchester County, you must register for a card at your own city/town library.*
Street Address City State ZIP Code
Proof of Home Address You Will Bring (Select one. This question applies to ALL applicants.)*
If you selected "driver's license" from the menu above, type license number here. (Include your state: NY, CT, NJ, etc.)
For NON-Residents of Purchase, Harrison, or West Harrison (Select the type of secondary ID you will bring.) Answer this question only if you are NOT a resident of Purchase, Harrison, or West Harrison.
Telephone Number*
E-Mail Address*
Default Hold Pick-Up Location (Check the box below. The libary clerk will need this info.)*
- PUR
I prefer to receive notification of holds and overdue items by:*
- Phone
- Text
- E-mail
For "Text": What is your cell/text number?
For "Text": Who is your service provider?
Juvenile, Teen, or Adult? (Select one.)*
Date of Birth (Juveniles and teens only, birth to age 17.)
MM slash DD slash YYYY
If applying for a juvenile or teen card, type the parent's name below.
First Last
Employment or College Address for NON-Residents of Purchase, Harrison, West Harrison Only: If you work or attend college in one of these three towns, add your job or college address.
Name of Company or College/University (Include the name of your department at work or your campus box #. If you do not have a campus box #, provide the department name of your college major.) Street Address City State ZIP Code
Proof of Address Policy: Home, Job, or College*
I agree to the policy as written below.
FOR RESIDENTS OF PURCHASE, HARRISON, WEST HARRISON: By checking the box above, I understand that I must bring proof of address with me when I come to pick up my library card. Proof of address may be: a driver's license, a utility bill, a credit card statement, a bank statement, or a telephone bill.

FOR NON-RESIDENTS: By checking the box above, I understand that I must bring to the library my employment ID, college ID, pay stub, or verification letter, as well as one document showing proof of my non-Purchase residence (driver's license, utility bill, etc.).