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Book Club Reservation Form
* Required
Name
*
Your answer
Library Card Barcode Number
*
Your answer
Phone Number
*
Your answer
E-mail
Your answer
Title of Book Group Kit
*
Your answer
Beginning Reservation Date
*
MM
/
DD
/
YYYY
End Reservation Date (6 week checkout period)
*
MM
/
DD
/
YYYY
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