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Zip Books Request Form
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1.
We're now accepting 3 request per month/per person.
First Name
(Required.)
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2.
Last Name
(Required.)
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3.
Library Card Number
(Required.)
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4.
Mailing Address
(Required.)
Address
*
Address 2
City/Town
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State/Province
*
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code
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5.
Special Instructions For Delivery
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6.
Phone Number
(Required.)
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7.
Email Address
(Required.)
8.
Title of Requested Item
9.
Author of Requested Item (Last Name, First Name)
10.
Format of Requested Item
Print
Audio
Large Print
11.
Additional Comments
*
12.
Please read the following rules and information, and acknowledge at the bottom to submit your request.
You will NOT receive an email confirmation when you submit this request.
Zip Book requests are processed in the order they are received. Once this survey is submitted, it may take up to three (3) weeks before the order is processed. At that time, you will receive an email from library staff to update you on the status.
By submitting this request, I understand that:
• My requests must be available from Amazon for under $50 ($75 for foreign language and audiobook titles) including tax and shipping.
•Textbooks, test preparation, and study guides will only be purchased if they are in agreement with Riverside Public Library's collection development practices.
• My Zip Book will be delivered to the address I provided above.
• I must return my Zip Book to a
Riverside Public Library Staff
, not a book drop.
• My account will be charged the full price of the book if my Zip Book is not returned by six (6) weeks after the due date.
(Required.)
I understand and agree to the Zip Book terms above, and want to submit my request.