| Montvale Public Library Reconsideration of Library Materials |
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Type of item in question: |
(Please check) |
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___Book |
___Book on Tape/CD |
___Music CD |
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___Periodical |
___Video/DVD |
___Other |
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Title of item: |
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Author (if any): |
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Publisher/Producer: |
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Request initiated by: |
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Home Address: |
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Phone: |
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E-mail: |
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Do you represent: |
___Self |
___Organization/Group |
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If an Organization/Group: |
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Name: |
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Address: |
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Please answer the following questions and
note
that incomplete forms will not be considered.
If
necessary, use the back of these sheets for additional space.
Thank you for your concern.
