Apply for Your Library Card

As a resident or taxpayer of the Sachem Library District, you are eligible for a Sachem Library Card.

Last Name

First Name & Middle Initial

Street Address (No P.O. boxes)

Village

Select your Zip Code

Telephone #

E-mail Address (optional)

By supplying your e-mail address, the library will deliver all circulation notices via e-mail. E-mail addresses are used solely for notification. E-mail addresses will not be given to any other agency.

Have you moved from another Suffolk County Library district? If so, which library?

For children under 18, please complete the foll owing information.

Accompanying Parent/Guardian Name

Age/Grade Level

Preschool (from Birth) Date of Birth
Juvenile (entering Kindergarten through 5th grade)
Teen (6th grade through age 17)

Internet Use Yes No

Collection Access

All Materials
Children's Room Only
Children's Room and Adult/Teen only (excludes Media Room)
Children's Room and Media Room only (excludes Adult/Teen materials)

You will need proof of residency to pick up your card. For children under 18, the accompanying parent or guardian's ID will be used.

Examples of valid forms of ID include:

* Driver's License	* Bank statement (within 60 days)
* Vehicle registration	* Pay stub (within 60 days)
* Vehicle insurance ID card	* Lease/deed/tax bill
* Utility or credit card bill (within 60 days)

Statement of Responsibility

I hereby agree to abide by the rules of the Sachem Public Library. I understand that I am responsible for all materials checked out on this library card and for all fines incurred due to the late return, loss or damage of materials. I also agree to give the library immediate notice of change of residency information, phone number, e-mail address or loss of card.

Questions? E-mail Circulation@sachemlibrary.org or call 588-5024.