JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
 Request Library Materials
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Phone Number
*
Your answer
Library Card Number
*
Your answer
book genres you enjoy
Mystery
Romance
Nonfiction
Suspense
Fantasy
Western
Classics
Historical Fiction
Any Specific Authors or other Genres not listed above
Your answer
Item Preference
*
Adult Regular Print
Adult Large print
Young Adult
Juvenile Chapter Books
Picture Books
Required
Pickup Location
*
Curwensville Public Library
Coalport Stop (VFW)
Frenchville Stop (VFW)
Grassflat (VFW)
Irvona Stop (Glendale Spirit & Truth)
Kylertown Stop (Mt. View Market Place)
Madera Stop (Coffee N' Bananas)
Mahaffey Stop (Fire Hall)
Penfield Stop (Grange Hall)
Luthersburg (Former School)
West Decatur Stop (The Rock United Methodist)
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Clearfield County Public Library.
Report Abuse
Forms
