Get a Library Card

Application for a Library Card

Please fill out this form and click on “Submit.” Your Library Card will be mailed to you at the address indicated. NOTE: Only individuals who live or work in Port Washington (NY) are eligible to receive a library card.

LIBRARY CARD RENEWALS are in person. Your library card expires every 3 years. Stop by the circulation desk with proof of address for an immediate renewal.





Your Name

Your Email

Address

City, State & Zip

Date of Birth

Telephone

Cell Phone

Gender

 Female Male

Previous Full address

If you are NOT A PORT WASHINGTON (NY) RESIDENT, but are EMPLOYED in Port Washington, please indicate the following:

Employer’s name

Employer’s Address

Employer’s Phone