Patron Template Request Form

 

Date:

 

Library:

 

Name of person to contact:

 

Phone number:

 

 

Enter your code (title):  
Enter your description:  

  

Indicate which fields you wish to include:

In the template make this line blank or supply the following information:

Check box if you want the template to prompt for this field automatically:

Fixed-fields:

Expiration Date

 

 

Age Range

 

 

Ward

 

 

Residence

 

 

Status

 

 

Patron Type

 

 

Birth date

 

 

Home library

 

 

Manual block

 

 

School, etc.

 

 

Patron Agency

 

 

Notice preference

 

 

Variable-fields:

Name

 

 

Guardian

 

 

Name Prefix

 

 

Name Suffix

 

 

Address

 

 

Address 2

 

 

Telephone

 

 

Telephone 2

 

 

License #

 

 

Message

 

 

Note

 

 

Barcode

 

 

Email

 

 

Pin #

 

 

 

Please add any additional instructions: