Your Full Name:
- Or -
Your Library Card Number:

Your E-Mail Address:

Your Phone Number:

On what date are your books due?

Should we renew all books and other materials that are checked out on your card?
Yes No

If "no," please list the author's last name & title for each of the items you are renewing: (one per line)
(e.g. "Reid: Cordelia Underwood")

Please Note: Videos and DVDs cannot be renewed.

Please follow the instructions on the next page carefully. Failing to do so may result in unnecessary overdue charges.