Home Delivery Service Application

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The Home Delivery Service is available to patrons of the Bloomington Public Library or Golden Prairie districts and cannot visit the library due to their physical condition or mobility issues.

If you can make it into the library on a regular basis (more than once per month), this service is not for you.

Fill Out Form Below Asterisk (*) denotes required field

Permanent Temporary (at least 2 months)
Please enter Library Card Number (check box below if library card needed).
Yes, Need Library Card No, Already Have a Library Card
email (add email if you want confirmation returned of this message)
Please add phone number.
Emergency or another point of contact: Asterisk (*) denotes required field
Please add emergency contact phone number.