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Book Club Member Form
Please submit this form only if you are interested in becoming a member of Centralia Regional Library District's Book Club for adults at any time this year. You do not need a CRLD library card to be a member.
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* Indicates required question
First and Last Name
*
Your answer
Phone Number (Include Area Code)
*
Your answer
Email (If you don't have one, type "N/A")
*
Your answer
Library Card Number
Your answer
Preferred Reading Format
*
Print Book
Large Print Book
eBook
Audiobook
Secondary Preferred Reading Format
*
Print Book
Large Print Book
eBook
Audiobook
Preferred Genre(s) (can be Fiction and/or Nonfiction)
Your answer
How did you hear about our Adult Book Club?
Your answer
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