City of Victoria Form Center

2. Name*
3. Email Address*
4. Confirm Email Address*
6. Library Card Number*
7. Phone Number*
9. Item Type*

   1. Regular Print Book
   2. Large Print Book
   3. Audiobook
   4. CD
   5. DVD
   6. Magazine
   7. Overdrive Digital Ebook
   8. Overdrive Digital EAudiobook
11. Item Information*
    Examples: title, author, publisher, date published, etc. Please provide as much information as possible.
13. Other Comments
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15. 1. Receive an email copy of this form.
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