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HomeBound Service Application

2. Tell Us About You!
   Our Homebound service is available to Lewiston residents who are temporarily or permanently confined to their homes. Library staff selects material based upon an individual's interests or a specific request. A volunteer delivers the items. <br><br> Fill in the following application. It's easy and it's free!

   Our Homebound service is available to Lewiston residents who are temporarily or permanently confined to their homes. Library staff selects material based upon an individual's interests or a specific request. A volunteer delivers the items.
   
   Fill in the following application. It's easy and it's free!

4. Name*

6. Address*

8. City*

9. State*

10. Zip Code*

12. Phone*

13. Email*

15. Library Card #*

17. What do you like to read?

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18. 1. Receive an email copy of this form.
19. Email address

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20. Submit Submit and Print

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