This voucher, properly filled in, entitles the reader to a General Ticket, and, if desired, a Non-Fiction Ticket, which are valid for two years from date of issue.

I, the undersigned, residing in the Borough of Liberton, hereby apply to the Public Libraries Committee for a Ticket (or Tickets), entitling me to borrow books from a Lending Library, in accordance with the Rules, by which I agree to be bound.

Name in full

Ladies please state if Mrs or Miss.

..................................................................................................

Residence

......................................................................................................

Occupation ...................................................

Age .......... Date ....................

I desire to receive a Non-Fiction Ticket