WISCONSIN RESIDENTS ONLY: Complete this form to apply for a library card from the Oregon Public Library located in Oregon, Wisconsin. This application is for a full access card which allows you to check out physical materials in addition to accessing our online resources. If you have any questions, please contact us at orecirc@oregonlibrary.org. First name * Last name * Middle initial * Birthday * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year1923192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022 Street address * City * State (this form is for WISCONSIN residents only) * Phone number * Email How would you like to be notified of holds? * Email (same day) Text (next day) Phone call (next day) Would you like an email reminder 2 days before your items are due? * Yes No Would you like to subscribe to the library's e-newsletter? * Yes No Leave this field blank