BOOKS BY MAIL APPLICATION | Wixom Public Library

Are you signing up for yourself or is this service for someone else? (Please check one)

If signing up for someone else, please give us your name and the best way to contact you:

Are you (or the person you are signing up for this service) homebound? (You must be a homebound Wixom resident to be eligible for this service.)

If temporary, how long (list weeks or months)?

Large Print Preferred

Some books are too heavy, nothing over _____ pages

Audiobooks (CD) Preferred

Audiobooks (CD) Only

Only send materials that I specifically ask for

Only send surprises based on my preferences

Please send a mix of requests and surprises

Something Else (please specify below)

Tell us more! Anything else we should know about the fiction you enjoy?

Something Else (please specify below)

Tell us more! Anything else we should know about the non-fiction you enjoy? (If you selected some of the options above, you can tell us what religion you prefer to read about, what style of cookbooks interest you, etc.)

Math question 1 + 0 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.