Home Delivery Service

2. ZBWPL Barcode*

   Please use the barcode assigned to your membership at the Zula B Wylie Public Library

4. First Name*

5. Last Name*

7. Address1*

9. Address2*

11. City*

12. State

13. Zip*

15. Phone

17. Email address

19. Location Instructions for Delivery*

    Please let us know where at your address you would like the library to place your items, such as front door, garage door, behind plant, etc

21. Reason*
    -- Select One --ElderlyTemporary DisabilityHomebound with no one to driveIllnessOther

    Select one

23. If Other chosen above, please describe reason for needing home delivery.

    Only complete if you chose Other above.

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24. Submit

* indicates a required field