Reciprocal Library Card Registration

If you are at least 13 years of age and have a library card for a library that is not a member of the SWAN consortium, please complete this form to apply for borrowing privileges at the Glen Ellyn Public Library.

Name
First Middle Last
Address
Street Address Address Line 2 City State ZIP Code
Phone
Birth Date
MM slash DD slash YYYY
Email
Library Name
Library Card Number
Library Card Expiration Date
MM slash DD slash YYYY
This completed form will not be retained; information will be stored digitally. Glen Ellyn Public Library policies are available at gepl.org.
- I agree to be responsible for all materials checked out on this card. I understand that I am responsible for any charges that may result from late return, loss, or damage of materials borrowed.
- I agree to comply with the library’s Internet Use Policy and understand that the library is not responsible for content viewed by others on computers or mobile devices in the library.
Consent
I agree to comply with library and system policies, rules, and regulations.