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Request For Reconsideration of Library Resources Form

Title *

Author(s) *

Publisher

Format (book, DVD, etc) *

How was the item brought to your attention? *

Have you read/viewed/listened to the entire work?

Yes
No

What action do you wish to be taken? *

Shelve it elsewhere
Remove it from the library
Other

Please explain how such an action would improve the library's service to the community.

Are there resource(s) you suggest to provide better information and/or other viewpoints on this topic?

Name *

First

Last

Phone Number

Email *

Do you have a library card with us? *

Yes
No

If Yes, please, enter library card number.

Library Card Number

I am acting as a spokesperson for the following group or association:

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