Home Delivery

Home delivery is a free service that provides library material to eligible West Bloomfield and contract community residents who are unable to visit the library because of limited mobility, illness, or disability, either temporary or long term.

Home Delivery Request Form

By completing this form, I understand that the application is subject to approval by library staff. If my application is approved, the library will provide a card for me with the understanding that I am responsible for the damage or loss of the materials charged to this card. For assistance, please call the library at (248) 682-2120.

Full Name(Required)

First Middle Last

Phone Number(Required)

I meet the definition of homebound as defined below:(Required)

Any West Bloomfield, Keego Harbor, Orchard Lake, or Sylvan Lake resident who is unable to drive to the library because of a temporary or permanent physical condition is welcome to join the home delivery program.

Yes

Please explain.(Required)

Do you have a West Bloomfield Library card?(Required)

Yes

Library Card Number(Required)

Address(Required)

Street Address Address Line 2 City ZIP / Postal Code

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Name

This field is for validation purposes and should be left unchanged.

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Home Delivery

Home Delivery Request Form

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