Customer details First name Preferred name Last name Date of birth Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year1920192119221923192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022 Address line 1 Address line 2 Address line 3 Town Post code Phone number Mobile number Email We will email your membership details to you. Collection of membership card Please select the library you would like to collect your membership card from * Bishopbriggs Library Bearsden Library Craighead Library Lennoxtown Library Lenzie Library Milngavie Library Westerton Library William Patrick Library Declaration For information in our full membership terms and conditions and acceptable use policy. You will also be required to provide a document (hard copy or digital) showing proof of your name and address, such as an electricity bill or a driving licence. This should be shown when you collect your library membership card.Confirmation I wish to apply for membership of East Dunbartonshire Libraries. I agree to be bound by the Libraries’ Membership Card Conditions of Use and to abide by the guidelines regarding the use of East Dunbartonshire Leisure & Culture Trust’s Computing and Internet provision in public buildings (Acceptable Use Policy) Confirmation I wish to apply for registration as a borrower from East Dunbartonshire Libraries. I agree to be bound by the Libraries’ Membership Card Conditions of Use. The information on this form will be processed by East Dunbartonshire Leisure and Culture Trust in accordance with the General Data Protection Regulation. The data you provide will be used for administering your library membership and for statistical purposes. We will not pass any data you provide to a third party other than for administration of your membership. Please review the attached Privacy Notice. Privacy Statement Read * I have read the privacy statement.