Menu Bottom

Somers Library Card Application
You must appear in person to receive a library card. Please print out and bring completed form with proof of residency (valid driver's license, utility bill, etc.) If you are not a resident of the Town of Somers, you may apply for a card if you work or attend school in Somers. Please complete the form and bring proof of employment or school attendance.

Name:

Address:                                                                                   Zip Code:


Home Telephone:                                                                     Cell Phone: 

Email Address (print clearly):        
    
Notify by (please circle one):               Email            Telephone 

Add to email list for newsletters/programs? Circle all that you wish to receive:  Adults   Teens   Childrens

Business Address:

Business Telephone Number: 


I agree to follow the rules of the Somers Library and all libraries in the Westchester Library System.

Signature: 

Gender (please circle):     Male       Female 

Birth Year (for statistics):