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�.- . 8 Ll C LIBRARY <br /> 0 BOX 657 <br /> F= PEE MA_ 02649 <br /> CLAMS Registration `ori <br /> Have you ever registered at another Cape Cod library?(Please circle) Yes NO <br /> PLEASE PRINT ALL INFORMATION <br /> Name <br /> Last First Middle initial t <br /> Legal(voting) address Street <br /> r r <br /> P o Bo <br /> City/Town State -Zip-.--- <br /> Phone <br /> ipPhone Number <br /> Local Seasonal Address <br /> Street <br /> Poo <br /> CityfTown State Zip <br /> Phone Number <br /> PIN (optional EMAIL Address <br /> Select 4 digit number as a PIN to access your CLAMS account <br /> If this application is for your child, please list their birth date: <br /> Child's birth date <br /> Parent/Guardian's nap - <br /> Last -- First <br /> ! apply for the r ght to use the library and agree to comply with alI its rul es and regulations, and to give <br /> immediate notice of any change in the above information. <br /> Signature Date <br /> ' identif lin. Data-For Library use only <br /> Drivers License State Number Military ID <br /> Other ID Non Resident ident Fee $5.00 one year card.. <br /> LAMS LAID 1200000 Staff Initials Date � <br /> . iYr iYfiiii��i Ylif TT��T#Rr^r�r�Yr�i it rrr�i yrlPFrrylFi##Tr�i!!Tw#!i!#Trsr�i�r�rrWiY#Yrr rrT�ri i#�Tr rrrYiYl�##rlw Y#f#f!t#lFTrr�TT#I�i�fY rrrW <br /> If you would like to provide your name and email or mailing) address{to the FrJends of M shpee <br /> Library for updates about library news and events, please opt in here Yes No� <br /> Name Email or mailing address <br />