2. Please note this form sends an email to the State Library Help Desk. A librarian will check your information and respond during normal business hours.
4. First Name*
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6. Last Name*
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10. Email address you would like info sent to*
11. Phone Number (only used if email is faulty)
13. Please renew my card*

    1. Yes
    2. No
15. 6 digit card number if known
17. Forgot Card Number*

    1. Yes
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19. Do you have any questions?

21. If you choose to have a copy of your form submission emailed to you, this email will come from support@civicplus.com.

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