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Online Payments | My Library Account

Application for Library Borrowing Privileges

This application needs to be filled out ONLY if you do not have a University ID card. Applicants MUST be 18 years of age or have a legal parent/guardian present to agree to these terms for minor. A valid State of Mississippi issued identification card is required to obtain a library card

Name *

First

Last

Local Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Permanent Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Email

Confirm Email

Local or Cell Phone

Other Phone

If under 18, parent/guardian name

I hearby agree to obey all rules and regulations of the J.D. Wiilliams Library and its branches. I will be responsible for materials borrowed and for any charges made when materials charged on my ID card are lost, damaged, or returned late.

Entering your name here serves as signature

Date / Time

Name

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