WISCONSIN RESIDENTS ONLY: Complete this form to apply for a web only library card from the Oregon Public Library located in Oregon, Wisconsin. This application is for a web only library card which allows you to access our online resources. If you would like a full access library card which would you allow you to check out physical items in addition to accessing our online resources, please complete our Library Card Application. If you have any questions, please contact us at orecirc@oregonlibrary.org. First name * Last name * Birthday * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year19211922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021 Street address * City * State (This form is for Wisconsin residents of Dane and Green counties only) * Email * Phone number Leave this field blank
