Watertown Public Library Home Delivery Service

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Watertown Public Library Home Delivery Service Application Full Name

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Address

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Phone

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Email _________________________

Alternate Contact Name: _________________________________________ Alternate Contact Phone:_________________________________________ Format of printed material desired: Regular Print books Large Print books

Paperbacks Magazines

Other material formats available: DVD Feature Film Audio book on CD Christian Music CD Opera Music CD Jazz or Blues Music CD

DVD Non-Fiction Classical Music CD Country Music CD Popular Music CD Broadway/Movie Music CD

Fiction Reading Preferences

Non-Fiction Reading Preferences

Please Circle General Fiction Science Fiction Christian Fiction Romance

Please Circle Adventure Mystery Westerns Fantasy

Arts Computers Crafts/Decorating Gardening History

Biography Cooking Crime Health Nature

The following information will be very helpful to us in giving you the best possible service. Approximately how many items would you like delivered each month? ______________ Please list some your favorite authors/artists:_________________________________________ ______________________________________________________________________________