HOMEBOUND DELIVERY SERVICE APPLICATION
Kelley Library cardholders who love to read and have difficulty visiting the Library due to a
temporary or permanent disability can take advantage of our home delivery service:
Mobile Books. Books and audiobooks are selected based on your reading interests and
requests are delivered to your home on a biweekly basis. We will work with you to
determine a good time for our regular visit. For further information, call 603-898-7064.
Date: ___________________________
Name: _____________________________________________________________
Address: ___________________________________________________________
Telephone number: __________________________________________________
Email address: ______________________________________________________
Library card number: ____________________________________
Emergency contact: __________________________________________________
Emergency contact phone number: _____________________________
How many items would you liked delivered at each visit? ____ Books ___ Audiobooks
Reason for requesting this service: ___________________________________________
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Please select the format(s) you prefer:
____ Regular Print ____ Large Print ____ Paperback ____Hardback
____ Books on Cassette ____ Books on CD
Please select the type of books you like to read:
___ General fiction ____ Romance ____ Christian fiction ____ Gentle reads
___ Mysteries ____ Cozy mysteries ____ Police procedural ____ Humor mysteries
___ Science Fiction ____ Fantasy ____ Westerns ___ Horror
___ Thrillers ___ Best sellers ____ Classics
List some of your favorite authors: _________________________________________
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Non-fiction:
___ Cooking ___ Needlework (specify kind: ___________)
___ Crafts/Hobbies (specify kind: _______________) ____ Gardening
___ Biography ___ History (specify period: __________________)
___ New Hampshire topics ____ Politics ____ Business
___ Religious/inspirational ____ Travel ____ Animals and pets
___ War ____ Health ____ Occult ____ Best sellers
Name some books you have enjoyed in the past: _____________________________
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