Corporate Card Application

Primary Contact Person

Primary Accountholder Name

This person is responsible for any charges that occur due to lost/damaged items. This person can be the same person as the primary contact person.

Business/Organization Name

Address

You must be located in the Bloomington or Golden Prairie area to receive a corporate card.

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Contact Information

Phone 1	Phone 2	Phone 3
Email 1	Email 2

Do you want the physical card picked up at Bloomington Public Library or mailed to the business?

Pick Up

Mailed

Name of Person Picking Up Card

Once your request is received, your Corporate Account will be created and you will be contacted via email with more information. If you selected to pickup your card in-person, please wait until you receive notification that it is ready for pickup before coming to the library.

By checking the box below you agree to the following: "I promise to follow all rules and policies of the Bloomington Public Library, to take care of all materials borrowed, and to promptly pay all fees charged to me. I will give prompt notice of change in my address. I will notify the Library immediately if my card is lost or stolen. I acknowledge that I assume all liability for any damage to my personal property caused by using library materials."

I agree to these terms