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dbrl Sign Up Information

Last Updated:

2/8/2020 4

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Your Name

First Name, Last Name, Middle Name

Your Address

Home Address, City, State, County, Zipcode

Post-Registration Data

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Membership Emails

Below is a sample of the emails you can expect to receive when signed up to dbrl.

Re: New [LIBRARY CARD RENEWAL]...

Hello,

If you could please take a look at this, and provide the card number for the account, birthdate, email and phone number that would be great. Thanks, and have a nice day!

Rowan

Circulation�

On Tuesday, February 11, 2020 at 4:37:05 AM UTC-6, Lewis wrote:

APPLICANT
NAME: Lewis, Jayden Christopher
PREFERRED NAME: Jon
CARD NUMBER: Jon

EMAIL: @
BIRTHDATE: --/--/-- �------
BIRTHDATE: Jon

PHONE: �Jon
PHONE2: Jon

NOTICES: POSTAL

ADDRESS
Jon County
145 Langham Road
244 Langham Road
London �MO �90275---

ALTERNATE ADDRESS: ---address
224 Langham Road
198 Langham Road
London �Jon �90275---

COLLEGE: Jon

PICKUP: HALLSVILLE

AGREEMENT: AGREE

==================================

HTTP_USER_AGENT=Mozilla/5.0 (Windows NT 6.1; rv:72.0) Gecko/20100101 Firefox/72.0
HTTP_REFERER=https://www.dbrl.org/library-card-renewal
REMOTE_ADDR=49.144.193.121

Raw Data Registration Structure Registration Form Text

Registration

Library Card Number *

First name

Last name

Home address

City

State

County

Zipcode

Middle name

E-mail

Which location would you prefer for picking up library materials placed on hold?

E-mail

Are you a college student or living in Mid-Missouri on a temporary basis?

I agree to the above terms

I acknowledge, understand and agree that I am responsible for all computer usage associated with and items checked out to my library account, and that I may be charged the replacement cost for any items not returned or returned damaged. I also acknowledge and understand that if my account becomes overdue to the point that I am billed for unreturned items, my account may be referred to a third party for collection, and I further understand that I may be charged an additional collection fee if this occurs.

Data Name	Data Type	Options
Library Card Number *	Text Box
First name	Text Box
Last name	Text Box
Email	Text Box
Home address	Text Box
City	Text Box
State	Text Box
County	Text Box
Zipcode	Text Box
Middle name	Text Box
	dropdown	E-mail
Which location would you prefer for picking up library materials placed on hold?	dropdown	E-mail
Are you a college student or living in Mid-Missouri on a temporary basis?	checklist
I agree to the above terms	checklist	I acknowledge, understand and agree that I am responsible for all computer usage associated with and items checked out to my library account, and that I may be charged the replacement cost for any items not returned or returned damaged. I also acknowledge and understand that if my account becomes overdue to the point that I am billed for unreturned items, my account may be referred to a third party for collection, and I further understand that I may be charged an additional collection fee if this occurs.