Click & Collect - Infants/Primary School

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* 1. Remember to bring your Library Card when you collect your order!

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* 2. About you?

Name *

Membership Number

Email Address

Phone Number *

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* 3. Pick Up Branch

Forster

Gloucester

Taree

Tea Gardens

Hallidays Point

Harrington

Stroud

Old Bar

Nabiac

Bulahdelah

Wingham (17 Jan, 8am-12pm ONLY)

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* 4. How many items would you like

Other (please specify) - Maximum items 20 per card

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* 5. I would like

Picture Books

Chapter Books

Information Books

DVDs

Puzzles

Other (please specify)

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* 6. Stories

Action & Adventure

Romance

Mystery & Thriller

Science Fiction & Fantasy

Funny Stories

Anything else?

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* 7. Do you know your reading level

Yes

Please tell us

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* 8. Information Books

Animals & Environment

Things to Do

How Things Work

People & Places

Sports & Games

Anything else?

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* 9. DVDs

G Rated

PG Rated

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* 10. Tell us about your preferences - likes & dislikes

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* 11. Please include my on hold items.

Yes

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* 12. Parent/Carer

Name

Membership No.

Email Address

Phone Number