Homebound Delivery Items Order Form
What can we get for you? If you are unsure of what you are looking for, answer the following questions and we will do our best to get you books, dvds, or audiobooks that you will enjoy! If you are just wanting your holds delivered to you, give us a call at 413-665-4683.

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Name *
Date *
MM
/
DD
/
YYYY
Library Card Number (if you don't know it please contact us to get it.)
Your Email Address
Your Phone Number *
Your Preferred Method of Contact *
What are you looking for? *
Required
Age Group? *
Required
If you chose BOOK, CD Audiobook, or Playaway, which FICTION genres do you prefer? (Select up to three.)
*If other, please list here.
If you chose BOOK, CD Audiobook, or Playaway, which NON-FICTION topics would you prefer? (Select up to three.)
*If other, please list here.
If you chose DVD, which genre(s) do you prefer? (Select up to three.)
*If other, please list here
Please list a few books or movies/tv shows you have enjoyed.
List a few books or movies/tv shows you do NOT like and why.
Describe the mood, tone or style of your favorite books or movies/tv shows (cozy, dark, fast-paced, feel good, gritty, humorous, suspenseful, romantic, slow,  thought provoking, quirky). *
Is there anything else you’d like us to know about your reading preferences?The more information you provide, the better the match!
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