Books on Wheels Membership Form

To sign up for the SJ Library Services' Books on Wheels service, please complete the form below.

Full name*

Date of birth*

Street address*

Suburb*

Post code*

Email*

Phone number*

Alternate Contact Details

Alternate contact details

To complete your Books on Wheels membership, we require an alternate contact for you. Please provide contact details for a family member or close friend below.

Full name*

Relationship to applicant*

Phone number