Name (First and Last):
Telephone: Home Work
Distance to Nearest Library:
Frequency of Mail:
Do you want books sent automatically based on the infomation in this profile?
Do you want books by request only
Do you want to request a pin number that will enable you to put holds on books and check the status of your account
from your home computer?
Adults in household (Names):
Place the individual adult's number next to the type of books he/she would like to receive:
Children in household (Names):
Place the child's number (from last step) next to the type of books he/she would like to receive:
What percentage should we send each shipment?%Fiction %Non-Fiction
Additional Comments: The more you tell us, the more likely we will pick books you will enjoy!
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