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2. Electronic Resources Library Card
   During the the temporary closure of the Belleville Public Libraries, electronic resources and databases will still be available. Until the libraries are reopened, we are offering temporary library cards for access to electronic resources and databases to adult residents without a library card. If you do no have a library card, you are an adult, and you live within the corporate city limits of Belleville, you can complete and submit the form below to apply for a temporary card.
4. The following information is required from an adult requesting a temporary library card:
6. Full Name*
   Include first and last names and middle initial.
8. Home Address *
   Street Address or PO Box Address
10. City*
11. State*
12. Zip*
14. Birth Date*
    Include month, day, and year.
16. Phone Number *
    Phone number with area code.
18. Email*
    Please enter requester's email, if applicable.
Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field