Home Library Service Request Form

Are you a resident of Whitehorse or Manningham?

Which council area does the applicant live in? *

WhitehorseManninghamOther - we are unable to process your application any further.

Home Library Service is available to Whitehorse and Manningham residents Whitehorse Manningham Libraries Home Library Service is available to housebound residents of Whitehorse and Manningham. If you live in another council area, we recommend making contact with your local library to see if they offer a similar service.

Who is filling out the form?

Are you submitting this request for yourself or someone else? *

MyselfSomeone else

About me

Your first name *

Your last name *

Your contact phone number *

Your email address

About the home library service applicant

First Name *

Last Name *

Address *

Street address

City *

Postcode

Contact phone number *

Email Address

Library card number

Date of birth