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Alaska Mail Services

Patron Profile

Juneau Public Library
Phone:(907)586-5379

292 Marine Way
Fax:(907)586-5383

Juneau, AK 99801
Email: mailsvcs@juneau.org

Name:

Year of birth:

Occupation:

Frequency of mail:

Distance to nearest library:

Internet access at home:

Reliability/Frequency:

Mailing Address:

City:
Zip Code:

Residence Address:

City:
Zip Code:

Home Phone:

Work Phone:

E-mail Address:

Select if you want books sent to you automatically according to the information on this profile in addition to your specific requests.

Select if you want us to send only the books you request.

ADULTS IN HOUSEHOLD Name, (birth year)

1. 2. 3. 4.

Favorite Authors:

CHILDREN IN HOUSEHOLD Name, (birth year)

A. Reading Grade Level:

B. Reading Grade Level:

C. Reading Grade Level:

D. Reading Grade Level:

Children's Favorite Authors:

Place the individual's number/letter next to the type of books he/she would like to receive.

For the choices marked 'specify', please include details in the space provided below the table.

Fiction

Non-Fiction

Alaskana Historical Alaskana How-to (specify)
Adventure Mysteries Adventure Humor
Best Sellers Religious Art (specify) Nature
Classics Romances Art Technique Poetry
Contemporary Science Fiction Biography Psych/Self-Help
Fantasy Short Stories Best Sellers Religious/Inspirational
Horror Westerns Crafts (specify) Science
Humor Audio Health Sports
Graphic Novels (specify) Videos History Travel
    Hobbies (specify) True Crime

Specify choices and preferences from the table above here:

How many of each item would you like in each shipment (max of 25 total)?
Audiobooks, Movies, Music (max of 4 each)

Books Audiobooks Movies(VHS or DVD) Music (CD)
What percentage should we send each shipment? % Fiction % Non-Fiction
What percentage of the items sent are for... % Adults % Children

How did you hear about our program?

Please share additional information with us, including other hobbies and interests
It will help us select materials you enjoy.