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Bookmobile Request form
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Organization Name
Your answer
Your name
Your answer
Email
Your answer
Phone number
Your answer
Is this a city of Belvidere Stop?
Yes
No
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What day of the week?
Monday
Tuesday
Wednesday
Thursday
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What time of day?
10 am to 2 pm
3 pm to 4 pm (best for school age)
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If county, what city or town?
Your answer
County stops are only on Saturdays. What time? Select more than one if you want a block of time.
10 am to 11 am
11 am to 12 pm
12 pm to 1 pm
1 pm to 2 pm
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Is parking available for the bookmobile? Where?
Your answer
Are restrooms available for library staff?
Your answer
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