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2. Last Name*
3. First Name*
4. Middle Initial*
6. Library Card Number*
   13-digit number below the barcode on your library card
7. Please enter a 4-digit PIN number*
   4-digit number
8. Phone Number*
9. Email Address*
11. Address1*
13. Address2
15. City*
16. State*
17. Zip*
19. County*
20. I live...*

    1. inside Faribault city limits.
    2. in rural Rice County.
    3. outside of Faribault and Rice County.
21. Birthdate*
    Birthdate
22. If under 18 years old, parent or guardian's full name
24. Please fill out and submit this form online. Library staff will process your request and notify you by email when your card has been renewed.
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field