*Last Name:

*First Name:

*Middle Name:

*Year of Birth:

*Home Address:

*City:

*State:

*Zip:

*County:

*Notify me of available and overdue items by:

Email: Telephone: U.S. Mail:

*Home Phone: with area code

*I    live   work   attend school   own propertyin Tulsa County.
If you do not meet the above qualifications, library cards must be obtained in person at a Tulsa City-County Library location, and there will be an annual fee of $50.

If you are under the age of 16, you must provide a name, address, and phone number for your parent or guardian in order for your card to be activated.

*Parent Name:

*Parent Address:

*Parent Phone: