Homebound Delivery Form – Commerce Township Community Library

First Name

Last Name

Facility Name

Library Card Number

I am currently a resident of either Commerce Charter Township or Wolverine Lake

Yes

No

Home Address

Phone Number

Email Address

Would you like Commerce Township Community Library to keep track of my Books Delivery reading history?

Yes

No

Preferred Format

Please choose one

Standard Print

Large Print

Book on CD

I prefer Large Print Books but will accept regular print to fill my title requests.

Only paperback

How do you want materials selected for you? Check one (1)

Request Only: I want to make my own selections

Readers’ Advisory: I want the library staff to make selections for me based on the subject and author preferences I have marked on the application

Favorite Authors

List as many as you'd like

Fiction Genres

Choose as many as you'd like

Mystery

Science Fiction

Historical Fiction

Fantasy

Romance

Western

Other

If other, please explain

Nonfiction

Choose as many as you'd like

Travel

True Crime

Cook Books

Politics

Diet & Nutrition

Religion & Spirituality

Biographies & Memoirs

History

Other

How many books would you like sent each time? (May be subject to change depending on book size)

1

2

3

4

5

Please provide us with a personal contact (someone we can contact in the event we have an issue with your account)

Please include full name, relationship, phone number, and email.