Home Delivery Services

The information you provide below will assist us in selecting materials for you.

Our Outreach staff will do their best to abide by the reading and viewing preferences you provide, but we cannot guarantee the content of all materials distributed.

Name

Phone

Address

City/Town

State/Province

ZIP/Postal Code

Birthdate

Do you have a Quincy Public Library card?

Yes

I've had one in the past, but not currently

Emergency Contact Name

Emergency Contact Number

Will you be selecting your own materials on our website, or would you like to have our staff make selections for you, based on your preferences?

I will be selecting my own materials online

I would like the staff to select for me, based on my preferences

Other…

What materials would you prefer to receive? (Select all that apply)

Books

Books on CD (Audiobooks)

CDs

DVDs

Magazines

Other…

What type of books would you prefer?

Large Print

Regular Print

Other…

How many books would you like to receive per delivery?

Other…

If you are receiving additional items (CDs, DVDs, magazines, etc.), please include the amount for each item. (Example: 2 DVDs & 1 magazine)

If you are receiving additional items, please include what kind of music, movies, or magazines you would like to receive. (Example: CDs- Classic Rock, Country, Pop, etc.; DVDs- Comedy, Adventure, Drama, etc.; Magazines- Time, People, Home and Gardening magazines, etc.)

Is there any additional information you would like to add? (Favorite authors, titles, series, genres, etc.)