Resident Library Card Application

This form allows you to apply for a membership through our website, however, it is not secure.. If you are not comfortable sending your personal information over the internet, you can register in person or send our printer friendly form to us by fax at (269) 324-9222 or by mail: Portage District Library Circulation Department, 300 Library Ln, Portage, MI 49002. A resident membership is available to anyone who lives within the Portage School District and City of Portage. If you are unsure you qualify, please call us at (269) 329-4544.

Your Information

Name

Address

City

Zip Code

Telephone

Gender

Male

Female

Birth Date

Options

Would you like a copy of our program brochure?

Yes

Which style would you like for your membership card?

Credit Card

Key Tag

Terms

I understand that I am responsible for all use of this membership, including any overdue charges, lost/damage fees, or internet violations incurred by its use. All information in your library record is confidential. Portage District Library is prohibited by law from revealing any personally identifying information.