Application for the Home Library Service
Mandatory fields are identified with
Please use this form to apply for the Home Library Service.
Personal details
Additional details
Confirmation
Receipt
Personal Details
Title
and
Forename
Mr
Mrs
Miss
Ms
Sir
Rev
Dr
Surname
Property name or number
Street
Town
Ashton
Dukinfield
Mossley
Hyde
Stalybridge
Longdendale
Denton
Audenshaw
Droylsden
All
Postcode
Date of Birth (dd/mm/yy)
Ethnicity
White - British White
White - Irish
White - Other White
Black or Black British - Black African
Black or Black British - Black Caribbean
Black or Black British - Any other black background
Asian or Asian British - Asian Indian
Asian or Asian British - Asian Pakistani
Asian or Asian British - Asian Bangladeshi
Asian or Asian British - Any other Asian background
Mixed - White & Asian
Mixed - White & black African
Mixed - White & black Caribbean
Mixed - Any other mixed background
Other ethnic groups - Asian Chinese
Other ethnic groups - Any other ethnic group
Telephone Number
Email Address
