Books By Mail Request Form Books By Mail Request Form Please fill in the following information about yourself: "*" indicates required fields Eligibility for Service*I am a resident of the City of Grand Rapids and unable to come to the library or any of its branches because of illness, disability, or old age. I agreeName* First Last Address* Street Address Address Line 2 City ZIP Code Phone Number*Email Date of Birth* Month Day Year Please provide us with a personal contact(someone we can call in the event we have an issue with your account)Name* Relationship to you* Phone Number*Email Selection PreferencesPrint Size(Check all that apply) Large Print Books Standard Print Books Audio Books on CD Types of books desired* Fiction Non-Fiction Types of books desired (Fiction)(Check all that apply) Adventures General Fiction Historical Horror Inspirational Mystery/Thriller Romance Science Fiction/Fantasy Urban Fiction Western Other Other Fiction Types of books desired (Non-Fiction)(Check all that apply) Arts/Crafts Biography Cooking Gardening Health History Politics Religion Sports Other Other Interests Favorite Authors or Titles: In order to better serve you, we keep track of your book choices in our computer system. This helps us to avoid sending duplicate books. Is this okay with you?* Yes No Please click the "send" button to submit this form.PhoneThis field is for validation purposes and should be left unchanged. Close How is the information I enter in this webform being protected? Any information you send using this webform is protected in transit with SSL encryption.Visit our Privacy Statement, opens in a new window, opens a new window to learn more about how your personal information is handled and protected. Information submitted in this webform is secure. Learn More about sending data over email.