homebound - Bartholomew County Public Library

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Homebound Services Request

Thank you for your interest in homebound delivery services. Please complete the form, and we will follow up with any additional questions.

See Homebound Services Guidelines for qualifications. For a printable version of this form, click here.

Name

Address

Phone Number

Can we text you?

Email address

Special instructions for contacting you?

Do you have a BCPL library card?

Approximately how many items would you like delivered at a time? (50 max)

Will you be requesting specific items, or will staff select the items for you?

I read only Large Print

I prefer Large Print but will accept regular if Large Print is not available

Audiobooks (CDs) only

No hardcover books

I prefer paperback but will accept hardcover if paperback is not available

I am interested in magazines

I am interested in music CDs

Any other information you would like us to know?