Books by Mail Reader Profile

Please complete this form and add any comments that will help us serve you better. We will contact you before mailing out any materials. We hope you enjoy receiving Books by Mail.

First Name

Last Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email

Phone Number

How do you prefer to be contacted?

Phone

Email

Do you have a library card?

Yes

No

What types of materials would you be interested in receiving?

Fiction

Non-Fiction

DVDs

Books on CD

Music CDs

Do you need large print books?

Yes

No

How many books would you like to receive with each mailing?

How often would you like the books mailed out?

Weekly

Bi-weekly

Monthly

What are some of your favorite authors?

What are some of your favorite authors?
What are some of your favorite authors?

What are some of your favorite titles?

What are some of your favorite titles?
What are some of your favorite titles?

Additional Comments

Today's Date

How did you hear about Books by Mail?

Downtown Library

Ladd Library

Books by Mail Reader Profile

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