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* 1. If the box is for you, what is your first and last name? Or what is the name of the teen you are signing up?

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* 2. Please select which best describes you.

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* 3. Is there a certain genre of book that you like best? (Check all that apply.)

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* 4. What format of book do you prefer to read? (Check all that apply.)

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* 5. Do you have a favorite author or book? Please explain what you like best.

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* 6. Is there any genre or subject matter that you would NOT want to see in your box?

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* 7. How do you prefer to be contacted?

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* 8. What is the cell phone number and/or email address you'd like us to contact?

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* 9. Do you have a valid Grand Forks Public Library card? Or if you're signing up a teen, do they have their own card?

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* 10. If the box is for you, what is your birthday (M/D/YYYY)? Or what is the birthday of the teen you are signing up?

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* 11. Sometimes we will include candy or snacks in the box. Do you have a food allergy we should be aware of?

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