Westport Public Library: Book Club Request

Book Club Request for Multiple Copies.

Book Title		(required)
Author		(required)
Date of Discussion		(required)
Number of Copies		(required)
Book Club Name		(required)
Contact Name		(required)
Contact Phone		(required) ex. 2032222222 (do not enter dashes)
Contact Email
		Last Name Phone Number
Member 1
Member 2
Member 3
Member 4
Member 5
Member 6
Member 7
Member 8
Member 9
Member 10
Member 11
Member 12
Member 13
Member 14
Member 15

Please note: Submit this form 6 weeks prior to your discussion date. It typically takes three weeks for books to arrive. We will do our best to obtain the number of books requested but cannot guarantee an adequate supply each month. Each club member listed above will be called when a copy becomes available.

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	Interlibrary Loan
	Tel: 203 291-4821	E-mail: ill@westportlibrary.org