Getting a Culpeper County Library card is easy! Applications are available at the library or online. Name First Name Last Name Address Address City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code Cell Phone Number Home Phone Number Date of Birth Email Address Notification Preference Email Text Who is your cell phone provider? (i.e. Att, Verizon, Boost, etc.) Please select which text notifications you would like: Friendly Reminders (2 days before books are due) Overdue Notices Holds Arrived Holds Canceled Please select which email notifications you would like: Friendly Reminders (2 days before books are due) Overdue Notices Holds Arrived Holds Canceled To receive the Library Newsletter, check here If you would like to keep a history of all items you have borrowed, initial here: Please be advised that if your records should be subpoenaed by the government or requested by Homeland Security, we would be required to surrender them. If you would like to access your account online please provide a 4 or 5 or 6 digit PIN (numbers only) Please Sign Below (If applicant is under 18 years of age, application must completed in person at the library with legal guardian present.) Date All patrons must sign a separate agreement to use the Internet-connected public computers in the library.