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Homebound Delivery Service Request Form

  1. Homebound Delivery Service is available

    for free home delivery of materials for Grapevine Residents who are unable to visit the library, either temporarily or permanently.

  2. What is the best way to contact you?
  3. I do not have card.
  4. By requesting this service: I give my permission for Grapevine Public Library staff to use my library card to check out materials for me. I also acknowledge that I am responsible for materials checked delivered to me through the Homebound Delivery Service. Do you agree?
  5. Acknowledgement of Program Eligibilty
  6. Formats/Types of Materials

    Check all that apply.

  7. Areas of Interest
  8. Nonfiction

    Check all that apply.

  9. Fiction

    Check all that apply.

  10. Leave This Blank:

  11. This field is not part of the form submission.