Apply for a Library Membership using the form below.If you are already a member of the library, there is no need to fill out the form. If you are a member and need a password to gain access to our online resources, please contact the library at library@litchfield.nt.gov.au or call on 8988 1200.Complete the online form below and your membership details will be sent to you by email. Library staff will email you as quickly as possible with your membership details. Please allow 2 business days.Name Title - Select -MrMrsMissMsDrOther First Name Last Name Details Date of birth Phone number Email Address Email Address Confirm Email Address Residential Address Suburb Residential address State - Select -Northern TerriotryNew South WalesVictoriaQueenslandSouth AustraliaWestern AustraliaTasmaniaAustralian Capital Territory Postcode Postal Address same as Residential Address Postal address Postal Address Suburb Postal address State - None -Northern TerriotryNew South WalesVictoriaQueenslandSouth AustraliaWestern AustraliaTasmaniaAustralian Capital Territory Postcode I am a parent/guardian wanting my child to join the Funky Chicken Book Club (Preschool, Primary & Middle school students only) I have submitted the membership in my child’s name What school does your child attend? What school does your child attend? Select schoolBees Creek Primary SchoolBerry Springs Primary SchoolGirraween Primary SchoolGood Shepherd Lutheran College Howard SpringsHoward Springs Primary SchoolHumpty Doo Primary SchoolMiddle Point Primary SchoolSattler Christian CollegeSt Francis of Assisi Catholic Primary SchoolOther school… School name... Parent/Guardian's name Parent/Guardian's contact number (if different to above) Parent/Guardian’s email address (if different to above)
