Text version
Derby. A city for all ages

 

Online Joining Form

Easy and quick library membership

Fill in the form below. Within two working days we will e-mail to you your library card number and PIN. You will be able to place holds on books, audio books and CDs and use our quality online information services straight away from the comfort of your PC.

To use the Lending Services, you must collect your library card from your chosen library. We will keep your card at your chosen library for three months. You will need to show proof of your name and address from this list of forms of identification and proof if you are in one of the concessionary groups.

If you decide not to collect your card, you will still be able to use our online information services.

If you already have a library card for Derby City Libraries or Derbyshire Libraries, you do not have to apply again.

Online joining form

* You must fill in these sections of the form

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*   Please choose which library you want to collect your library card from

We want to make sure that our library service is reaching all sections of the community.

To help us find this out, please tell us which of these applies to you:
 

White
001
002
003
Dual heritage
004
005
006
007
Asian or Asian British
008
009
010
011
012
013
014
Chinese or other ethnic group
015
016
     
099

Gender

Do you consider yourself disabled? 
*  (dd/mm/yyyy)

Do you qualify for any concessions?

People in receipt of any of the following:

  • Income support
  • Working Families Tax Credit
  • Incapacity Benefit
  • Jobseekers Allowance

People aged 60 and over
Students
Registered blind / visually impaired and other people who have difficulty with print
Deaf or hearing impaired

Data Protection: This form is not secure. Please don't include any confidential or sensitive information on it. We will treat any other personal information you provide in confidence and under the Data Protection Act 1998. We will hold it and only use it for a legal reason or for the purpose it is given. We will only share information when we have your consent or we need to ask another department or partner to respond to a specific comment or request you have made.

We will keep a record of the sender's Internet Protocol address (which is unique to the sender's computer), the date we received the form, and the content for back-up and archive purposes. We will also use this record to identify senders of any malicious content under the Protection from Harassment Act 1997. We will keep this record for a maximum of three months.

Please read our rules.

Library rules

I apply for membership of Derby City Libraries
and agree to observe library rules. I accept
responsibility for items borrowed on my library card.

          

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