Boston Harbor Islands Library Pass Program 2017
Please fill out this form by March 10th, after April 10th we will begin to outreach to additional libraries.
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Date *
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DD
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Library Name *
Contact Name *
Contact Phone *
Contact Email *
Street Address *
City/Town *
State *
Zip Code *
Have you Participated in the Boston Harbor Islands Library Pass Program Before *
Have you Participated in the Boston Harbor Islands Library Pass Program Before *
If you participated in the past, how many passes did your library use in 2016?
Which program are you interested in bringing to your library? *
You can pick both options
Required
How many $5.00 passes would you like to purchase?
Name of your Local Paper
How will this pass be promoted in your community? *
How will this pass support your mission? *
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