Form Center

2. Before you fill out this form, please know that you must provide photo identification (ND issued driver's license or a ND issued non-driver identification card) and proof of current address in order to retrieve your library card. (Children and teens under 18 can be issued cards under a parent or legal guardian's ID)*

   1. I can provide the required North Dakota ID
   2. I am willing to pay a $50 per year non-resident fee
4. Last Name*
5. First Name*
6. Middle Name/Initial*
8. Mailing Address
10. Street / P.O. Box*
12. City*
13. State*
14. Zip Code*
16. Street Address (If different than above)
18. City
19. State
20. Zip Code
22. Phone Number*
23. Phone Type*
    -- Select One --CellHome
25. Would you like to receive notifications about hold requests and overdue items by text message?*

    1. Yes
    2. No
27. Email Address
29. 4-Digit PIN (Personal Identification Number - A PIN is required to access your account and electronic resources online)*
30. Birthdate*
    Birthdate

32. Children ages 17 and under must have a parent/legal guardian present with required ID in order to retrieve a library card.

34. Patrons under 18:
36. Parent / Legal Guardian Name
38. Parent / Legal Guardian Phone Number
39. Relationship to Card Holder
41. Parent/Legal Guardian is responsible for all library card activity and fines accrued by minor.

    Please read carefully:

    As a Bismarck Veteran's Memorial Public Library cardholder, I agree to:

    • Abide by library rules regarding behavior, public computer use and borrowing materials.
    • Be responsible for the items and charges incurred on this card.
    • Report my library card's loss or theft immediately.
    • Inform the library of any changes in my address, telephone number, or email address.

    Please allow 1 to 2 business days for processing of online library card requests. After you have submitted this application, you will have 30 days to retrieve your new card.

Leave This Blank:


43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit

* indicates a required field