College of the Siskiyous Library

Library Card Form

COS Home Site Index Prospective Students . Faculty and Staff . Alumni and Community . Current Students .

If you would like a COS library card, please fill out this form.

First Name:
Middle Initial:
Last Name:
P.O. Box:
Street Address:
City:
State:
Zip/Postal Code:
Day Phone (ex. 5305551234):
Home Phone (ex. 5305551234):
Message Phone (ex. 5305551234):
E-mail:
Birthdate (mm/dd/yyyy):
Enter prefered PIN number (can be any combination of 4 to 12 characters)
I understand that I am responsible for all materials borrowed on this card and agree to observe all library policies