EmailMe Form - Barrington Public Library

Your Information
Your Name *
First Last
Your Library Card Number *
Please contact me via *
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Your Phone Number *
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Your Email Address *
Information About the Item You Are Requesting
Date of Request *
MM / DD / YYYY
Title *
Full Title of Item / Article Requested (include magazine title and issue / page numbers if applicable. (One per form please)
Author / Actor *
If the Author is unknown, please include the editor's name or the publisher's name
Format *
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No
Date of Publication (if known)
Should this item not be found in the State of New Hampshire, we can do an out-of-state search for the item for a fee of $4.00, payable at the time you pick up the item at the library. Would you like us to perform an out of State Search for this book? *
Yes
No
This item is not needed after this date
MM / DD / YYYY
Notes to Librarian
Is this item needed for an upcoming book discussion?
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No
Scheduled date of book discussion
MM / DD / YYYY
Date the the item is needed
MM / DD / YYYY