2. First Name*
3. Last Name*
5. Phone
6. Email
8. Do you have a Blue Earth County Library card?*

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9. Are you a Blue Earth County Resident?*

   1. yes
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11. Title*
13. Author
15. Format*

    1. Book
    2. Large Print Book
    3. Audio Book
    4. E-Book
    5. Movie
    6. Other
17. Other Format
19. Additional Comments
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21. 1. Receive an email copy of this form.
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