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Do you prefer to read: *
Which do you prefer? *
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What type of fiction do you like to read? (check all that apply)
What type of nonfiction do you like to read? (check all that apply)
Describe the kinds of things you enjoy reading: *
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List a few titles that you have enjoyed reading: *
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Favorite Authors
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Name: *
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Address: *
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Phone: *
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Cell Phone:
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Email:
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Second Contact Name: *
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Second Contact Phone: *
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