Educator Library Card Signup

Please use this form if you are an educator who lives within the Quincy Public Library service area, or you are an educator who teaches in Quincy and resides elsewhere.

First Name

Last Name

Preferred Name

Address

City/Town

State/Province

ZIP/Postal Code

Telephone Number

Date of Birth

Permanent Address (if different than above)

City/Town

State/Province

ZIP/Postal Code

Township

Ward

How would you like to receive courtesy notices for overdue materials or requests?

(Selecting email will allow us to send you additional library information.)

Phone

Current School

Current Grade Level or Subject Area