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Contactless Curbside Pickup Form
HCMPL
You can now request up to 10 items for Curbside Pick-up!
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Name
Your answer
Library Card Number
Your answer
Phone Number
Your answer
Item #1 (Title and author, please)
Your answer
Item #2 (Title and author, please)
Your answer
Item #3 (Title and author, please)
Your answer
Item #4 (Title and author, please)
Your answer
Item #5 (Title and author, please)
Your answer
Item #6 (Title and author, please)
Your answer
Item #7 (Title and author, please)
Your answer
Item #8 (Title and author, please)
Your answer
Item #9 (Title and author, please)
Your answer
Item #10 (Title and author, please)
Your answer
Preferred Pick Up Day
Choose
Tuesday
Wednesday
Thursday
Friday
Preferred Pick Up Time
Choose
12:00p-12:15p
12:15p-12:30p
12:30p-12:45p
12:45p-1:00p
1:00p-1:15p
1:15p-1:30p
1:30p-1:45p
1:45p-2:00p
2:00p-2:15p
2:15p-2:30p
2:30p-2:45p
2:45p-3:00p
3:00p-3:15p
3:15p-3:30p
3:30p-3:45p
3:45p-4:00p
Submit
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