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* 1. What is your name?

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

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* 5. Is there any genre or subject that you would NOT want to see in your Teen Novel(ties) Box?

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* 6. How do you prefer to be contacted?

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* 7. What is your cell phone number and/or email address?

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* 8. Do you have a valid Grand Forks Public Library card?

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* 9. If the box is for you, what is your age? Or what is the age of the teen you are signing up?

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* 10. 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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