Homebound Delivery Service Application
You may print this form and mail to the address at the bottom or email this form.
Name
Address
Telephone Number
Email Address
Library Card Number
In order to serve you best, please indicate preference for delivery.
Any day Mon Tues Wed Thurs Fri Sat
Any time Morning Afternoon Evening
How many books would you prefer at one time?
Please choose the formats and categories you would like:
Favorite Authors
Other
Please type the letters/numbers in the box below:
You may call the Wilmington Memorial Library at 978-658-2967 for more information.