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Books on Wheels Application
You must live in the Molalla Library District boundary.
To be eligible for this service, you must be unable to come to the library due to a condition that is permanent or temporary.
Complete this application and a library staffer will contact you to discuss your preferences and begin service.
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* Indicates required question
Name (First and Last)
*
Your answer
Address (complete address- please include street address, city, and zip code)
*
Your answer
Phone Number
*
Your answer
Library Card number (if you have one)
Your answer
What FORMAT of items are you interested in? Please check ALL that apply.
Hardback
Paperback
Large Print
CD Audiobook
DVD
Music CD
Magazine
Puzzle Kits
What type of FICTION categories are you interested in? Please check ALL that apply.
Bestseller
Classics
Western
Inspirational
Mystery
Thriller
Romance
Science Fiction
Historical
Fantasy
What type of NONFICTION categories are you interested in? Please check ALL that apply.
Self Help
Cooking
Graphic Novels
History
Biography
Health
Religion
Crafts
Are there any authors or series that you particularly enjoy? What would you like to share with us about what you like to read?
Your answer
Is there anything you do not like to read about? Or are there any topics that you want us to stay away from when selecting books?
Your answer
I understand that I am responsible for materials delivered to me through the Books on Wheels program.
*
Yes
Required
Thank you for completing the application! A staff member will be contacting you shortly. If you have any questions, please email
moref@lincc.org
or call 503-829-2593. Thanks!
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