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Book Club Request Form
Book Club Request Form
Book club name
Date of request
Title
Author
Date of book discussion
Total number of copies - Book
Total number of copies - Large print book (if available in this format)
Total number of copies - Audiobook on Cassette (if available in this format)
Total number of copies - Audiobook on CD (if available in this format)
Patron name (contact person)
Phone number
Patron library card barcode number (beginning with 26173) listed on the back of your card.