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2. Amesbury Public Library can help you run your own book club!

   With a Book Club Card, we can help you request books, and will keep them on the shelf for your members to pick up at the Circulation Desk! For more information, contact the Assistant Director at 978-388-8148x607

4. Has your club already signed up for a Book Club Card with Amesbury Public Library?*

   1. Yes
   2. No
6. First Name*
7. Last Name*
9. Phone Number*
11. Email Address
13. Library card number*

15. Book Club Info

17. Book Club Name*
18. How would you like to be notified about holds?*

    1. Email
    2. Text message
    3. Phone call
20. Number of Members (including yourself as the facilitator)*
21. Did you include yourself in the number of members?*

    1. Yes
    2. No
23. Preferred Pickup Day (e.g. 1 month before meeting date, day of previous meeting, etc.)*

25. Meeting Dates & Material Selections

27. Meeting 1 Date*
    Meeting 1 Date
28. Meeting 1 book's title and author*
30. Meeting 2 Date*
    Meeting 2 Date
31. Meeting 2 book's title and author*
33. Meeting 3 Date*
    Meeting 3 Date
34. Meeting 3 book's title and author*
36. Meeting 4 Date
    Meeting 4 Date
37. Meeting 4 book's title and author
39. Meeting 5 Date
    Meeting 5 Date
40. Meeting 5 book's title and author
42. Meeting 6 Date
    Meeting 6 Date
43. Meeting 6 book's title and author

45. Format Preferences

47. Do any members prefer large print?

    1. Yes
    2. No
48. How many prefer large print?*
50. Do any members prefer audiobook CDs?

    1. Yes
    2. No
51. How many prefer audiobook CDs?*
Leave This Blank:


53. 1. Receive an email copy of this form.
54. Email address

    This field is not part of the form submission.

55. Submit

* indicates a required field