Access Membership Application

This is a access membership application. It expires in 6 months and you may borrow 4 items at a time. To obtain your physical card, please come into the library. If you're interested in obtaining a permanent card, please bring in a valid ID and proof of residency in Hailey.
If you live outside of Hailey, you can purchase a full non-resident membership for $68.00 a year or $21.00 if you're a senior.

Full Legal Name:
First Name (required)

Middle Name

Last Name (required)

Birthdate (required)

Mailing Address
Street (required)

City (required)

Zipcode (required)

Residence Address (if different from above)
Street

City

Zipcode

Email (required)

Phone Number (required)

Driver's License Number

How would you like to receive receipts?
Paper ReceiptEmailText

How would you like to receive notices?
MailEmailText

Cell Service Provider

I would like to be updated about events and news at HPL via email

I verify that this information is current and true. I agree to follow all policies and procedures of the Hailey Public Library. I agree to assume full financial responsibility for items borrowed or charges incurred by the use of these cards. I agree to report lost or stolen cards immediately, and I understand that I am responsible for any items checked out on my card before I report it missing.

I have read and agree to the statement above

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