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2. Name
3. Seguin Public Library card number
5. Telephone
6. Email
8. How do you want to be contacted?

   1. Phone
   2. Email
10. Are you requesting that we purchase an item missing from our collection?

    1. Yes
    2. No
12. Title
13. Author
15. Format

    1. Audiobook CD
    2. Book - Large Print
    3. Book - Regular Print
    4. Blu-Ray
    5. DVD
    6. e-audio
    7. e-book
    8. e-video
17. Other Information
19. Do you want us to prepare a list of recommended reads tell us about what you like?

    1. Yes
    2. No
21. The more you tell us, the more precise our recommendations can be.
23. Favorite author or authors
25. Favorite subjects
27. Favorite genre
29. Titles you did not enjoy or subjects you would like to avoid (nonfiction, mystery, romance, science fiction, etc.)
31. Other information
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

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