Homebound Services Form

For any questions regarding the Homebound Delivery Service, the form below, or for interest in Volunteering please contact our Marketing and Outreach Manager at awagner@westerlylibrary.org

Deliveries are made once a month. Please select the day(s) of the week that works best for your delivery:
Book Format Preference
If one or more of the items you have requested below are not available, would you like a Librarian to request the item from another library?
AND/OR select a similar substitution(s)?
Item #1 (Required)
Type of Material
Item #2 (Optional)
Type of Material
Item #3 (Optional)
Type of Material
STATEMENT OF RESPONSIBILITY: