631-588-5024

150 Holbrook Road, Holbrook, NY 11741

  • Monday – Friday 9:30am – 9:00pm
  • Saturday 9:30am – 5:00pm
  • Sunday (October-May 2) 12:00pm – 4:00pm

    Complete this form and click SUBMIT to join the Connections Homebound service.

    Applicant:

    Do you have a Sachem Public Library card?

    Will someone be picking up the Materials? If yes, provide name and phone number.

    Check the material formats which are acceptable.

    Please list any specific interests or requirements


    Applicant’s Name

    Address

    Telephone

    Email

    Birthday

    Signature (Please Enter Your Name)

    Date

    Check areas of interest


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