Westley public library memebership application form

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Questions 1 - 5:

Complete the form below. Write NO MORE THAN ONE WORD OR A NUMBER for each answer.

FULL NAME

Peter Adrien 1

ADDRESS

Flat 5 53 2 Street Finsbury

POSTCODE

3

DATE OF BIRTH

8th July 4

HOME TEL

none

MOBILE TEL

5

PROOF OF RESIDENCE PROVIDED

a letter

Questions 6 - 8:

Circle THREE letters A-F. What type of books does Peter like?

A.

B.

C.

D.

E.

F.

Questions 9 - 10:

Write NO MORE THAN THREE WORDS AND/OR A NUMBER for each answer.

  • How much does it cost to join the library? 9
  • How much does it cost to rent a DVD? 10