BEAM LIBRARY APPLICATION FOR BORROWERS CARD RIGHT'S AND RESPONSIBILITIE'S NAME Drey M Fank ADDRESS Ravine Rooms, Sparkleton TELEPHONE downstairs hall DATE OF BIRTH October 21st BIRTHPLACE Sparkleton, PA MOTHER'S MAIDEN NAME I don't know NAME OF FIRST PET Poker and Fangle NAME OF FIRST STREET YOU LIVED ON Grave St HOW TALL ARE YOU? IF YOU ANSWERED "YES" TO QUESTION 1, SKIP THE NEXT SECTION IF YOU ANSWERED "NO" TO QUESTION 1, FILL OUT THE NEXT SECTION IN BLACK OR BLUE PEN ONLY HAVE YOU EVER DEFACED SCHOOL PROPERTY? no HUNG OUT IN THE SMOKING ROOM? yes CUT CLASSES? yes HEAVY PETTING BEHIND THE LIBRARY STACKS? no CHERRY BOMB IN TOILET? no IF YOU HAVE EVER PLACED ABC GUM ON THE UNDERSIDE OF A LIBRARY CAREL, FILL OUT THE NEXT SECTION IN BLACK OR BLUE PEN ONLY SON, HAVE YOU EVER BEEN ARRESTED? no ARE YOU EXPERIENCED? I don't know HAVE YOU, OR ANYONE RELATED TO YOU, EVER BEEN WAYWARD? I have never left Bundt County HAVE YOU, OR ANYONE RELATED TO YOU, EVER BEEN BIDDABLE? yes. maybe? ARE YOU A NOSE PICKER? yes IF YES, GO BACK TO QUESTION 1 IF NO, SIGN THIS FORM WITH A NOTARY AND RETURN IT TO THE LIBRARIAN UPON RECEIPT AND PROCESSING OF THIS FORM YOU MAY OR MAY NOT RECEIVE BORROWING PRIVILEGES WE WILL LET YOU KNOW WITHIN 4-6 WEEKS. WHEN OR IF YOU RECEIVE A LIBRARY CARD, DO NOT FOLD, CRUMPLE, COPY, OR KEEP IT IN YOUR BACK POCKET SO THAT IT CONFORMS TO THE SHAPE OF YOUR BUTTOCKS. DO NOT LEND IT TO A FRIEND. DO NOT BORROW BANNED BOOKS. ESPECIALLY DO NOT USE IT TO OPEN DOORS TO WHICH YOU DO NOT HAVE A KEY. LIBRARY STAFFs

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