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* 1. Full name:

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* 2. Physical mailing address:

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* 3. E-mail address:

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* 4. Phone number:

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* 5. Age Group

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* 6. Gender

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* 7. School/college or place of employment:

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* 8. If you would like to access our digital collection, like eBooks, you will need to select a 4-digit PIN number:

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* 9. How would you like to receive your library card?

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