Library Account Application

Please fill in the form below to apply for a Marshall County Public Library account, and to access the benefits of being a library card holder. All applications must include a scanned copy of your driver's license, which can be attached to this application digitally, e-mailed to the library at mcpl@marshallcolibrary.org, or faxed to our @Benton branch at (270) 527-0506. Upon receipt of your application, supplemental documentation, and any necessary payments, we will process your record and mail your materials to the address on file.


Out-of-Region applicant's must submit a refundable $20 deposit with their application. Payment can be delivered in person or mailed to the @Benton library branch. We are currently arranging the ability to accept online payments, but are not able to at this time. To receive your refund, you must relinquish your card unto the library and have a clear record. We will then delete your patron record from our system.



What type of library account are you applying for? *




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If applying for a District Library Card, please select your home county.

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First Name *

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Middle Initial *

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Last Name *

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Date of Birth *

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Driver's License # *

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Address *

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Address

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City *

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State *

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Zip Code *

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Primary Phone *

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Work Phone

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Cell Phone

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E-Mail

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Address

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Address

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City

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State

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Zip Code

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Reference Name *

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Reference Phone *

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Reference Relation *

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Family members can pick up, know about, and renew my library materials. *

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If you would like to submit a scanned copy of your driver's license with this application, you may do so here.

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Acknowledge ID *

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Acknowledge Deposit *

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Certification *

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CAPTCHA *
CAPTCHA

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