Renew Your Library Card | Bloomfield Township Public Library

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Name*

First Middle Last Suffix

Library Card Number*

Type:*

Detroit Public Library Card Number*

Troy Public Library Card Number*

Employer

Name of employer

Employer Phone #

Address of Employment*

Street Address Address Line 2 City State ZIP Code

Home Address*

Street Address Address Line 2 City State ZIP Code

Primary Phone #*

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Email*

Cell Phone #

Cell Phone Carrier*

Cell Phone Carrier

Birthdate and Year (mm/dd/yyyy)*

Driver's License Number*

Date*

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