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 would like a web only card, please complete the Web Only Application. If you have any questions, please contact us at orecirc@oregonlibrary.org. First name * Last name * Middle initial * Birthday * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year1922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021 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
