2. First Name
3. Last Name
5. YOUR Email Address:
6. Phone Number
8. Purpose of this Form
   We use this form to collect information related to your request for us to select books and other materials based on the GENRES you select.
10. Genres

    1. Mystery
    2. Romance

    1. Sci-Fi
    2. Western

    1. Literary Fiction
    2. Non-Fiction -- History
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12. 1. Receive an email copy of this form.
13. Email address

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