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* Please enter a contact email address:

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* Please enter a central telephone number for your library service:

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* Please enter the library service website address:

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* Please tell us how you plan to recruit bookgivers between now and the bookgiver application deadline of 30 December (e.g. through displaying the World Book Night poster, promoting World Book Night to your reading groups etc):

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* Please tell us how you plan to celebrate World Book Night on 23 April:

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* Please tell us what you plan to do to promote World Book Night 2012 (e.g. how you will publicise events)

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* Please insert details of your library pick-up point

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* Please state how many sets of 24 books this library pick-up point can accept:

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* Please insert details of your library pick-up point

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* Please state how many sets of 24 books this library pick-up point can accept:

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* Please insert details of your library pick-up point

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* Please state how many sets of 24 books this library pick-up point can accept:

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* Please insert details of your library pick-up point

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* Please state how many sets of 24 books this library pick-up point can accept:

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* Please insert details of your library pick-up point

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* Please state how many sets of 24 books this library pick-up point can accept:

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* Please insert details of your library pick-up point

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* Please state how many sets of 24 books this library pick-up point can accept:

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* Please insert details of your library pick-up point

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* Please state how many sets of 24 books this library pick-up point can accept:

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* Please insert details of your library pick-up point

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* Please state how many sets of 24 books this library pick-up point can accept:

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* Please insert details of your library pick-up point

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* Please state how many sets of 24 books this library pick-up point can accept:

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* Please insert details of your library pick-up point

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* Please state how many sets of 24 books this library pick-up point can accept:

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* Please insert details of your library pick-up point

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* Please state how many sets of 24 books this library pick-up point can accept:

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* Please insert details of your library pick-up point

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* Please state how many sets of 24 books this library pick-up point can accept:

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* Please insert details of your library pick-up point

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* Please state how many sets of 24 books this library pick-up point can accept:

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* Please insert details of your library pick-up point

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* Please state how many sets of 24 books this library pick-up point can accept:

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* Please insert details of your library pick-up point

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* Please state how many sets of 24 books this library pick-up point can accept:

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* Please insert details of your library pick-up point

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* Please state how many sets of 24 books this library pick-up point can accept:

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* Please insert details of your library pick-up point

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* Please state how many sets of 24 books this library pick-up point can accept:

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* Please insert details of your library pick-up point

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* Please state how many sets of 24 books this library pick-up point can accept:

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* Please insert details of your library pick-up point

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* Please state how many sets of 24 books this library pick-up point can accept:

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* Please insert details of your library pick-up point

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* Please state how many sets of 24 books this library pick-up point can accept:

Thank you!

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