Library - Audio-Visual Bookings Form

To book videos or DVDs, please complete the following information:

Required fields are marked with an asterisk (*)

Video/DVD title(s): (If you aren't sure, search the Library Catalogue for holdings information. *



Showing Dates:

Your Name: *

Church/Organization

Address: *

City: *

Postal Code *

Home Phone:	() -

Work Phone:	() -

Fax:	() -

Email:

Your Library barcode number: (if you do not have a library card, please phone or email the library at (604)853-3567 about registering as a borrower *


I will pick up from the Library	Yes No

The Library should mail the video to me:
	Yes No
Postal charges are: $5.50/up to 4 videos one way. Include your cheque when you return the video. Allow 6-12 days delivery. Borrower also pays for return mail charges.

Additional Comments: