Delivery Service Application Form Can’t come see us at the library? We can deliver library items to you! Please fill out the form below and Library staff will get in touch with you to discuss service options. * indicates a required field. Name * Required First Last Email * Required Phone * RequiredAddress * Required Street Address Address Line 2 City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Library barcode(if registered)CommentsWhat is your reason for requesting delivery of library items? * RequiredCheck all that apply I live in a nursing home or a residential care facility. I have a medical condition, disability, or am recovering from a medical procedure or illness. My caregiver duties make it difficult for me to get to the library. I am unable to travel to my local library. There isn't a library branch were I live. PhoneThis field is for validation purposes and should be left unchanged. Can you tell me more about this webform submission?The contents of this webform are sent to library staff via email. We recommend that you do not submit confidential information (like your library card number, passwords or credit card information). If you need to share confidential information with library staff, we suggest that you use other channels of communication, such as the telephone.Visit our Privacy Statement, opens in a new window to learn more about how your personal information is handled and protected.This information will be submitted via email. Learn More.