Third Age Book Set Request Form
Only employees of Iowa libraries may request titles. A list of available titles may be found @ https://www.waterloopubliclibrary.org/servicesforseniors
Name of requesting library *
Library contact *
Email address *
Shipping address *
Book title *
Number of regular print copies (if zero enter zero) *
Number of large print copies (if zero enter zero) *
Number of audiobook copies (if zero enter zero) *
Date needed by *
MM
/
DD
/
YYYY
Length of loan in days *
Submit
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