Library Grab Bag Request Form

2. Name*

4. Library Card Number*

6. Phone Number*

8. Number of Items*

   1. Up to 5 Items Total
   2. 5 - 10 Items Total
   3. 11 - 15 items Total

10. Grab Bag Categories*

    Please select up to 3 Grab Bag categories

    1. Picture Books
    2. Beginning Readers
    3. Kids’ Chapter books (Lower elementary)
    4. Kids’ Chapter books (Upper elementary)
    5. Kids’ Chapter books (Middle School)
    6. Kids’ Nonfiction (Lower elementary)
    7. Kids’ Nonfiction (Upper elementary)
    8. Kids’ Nonfiction (Middle School)
    9. Kids’ Graphic Novel
    10. Teen Fiction
    11. Teen Graphic Novel
    12. Kids’/Family movies on DVD
    13. Mysteries & Thrillers
    14. Romance
    15. African American Fiction

    1. Historical Fiction
    2. Science Fiction
    3. Fantasy
    4. Horror
    5. Graphic Novel
    6. General Fiction
    7. Biographies & Memoirs
    8. Food & Cooking
    9. History, Politics & Current Events
    10. Health, Mind & Body
    11. Home, Garden, & DIY
    12. True Crime
    13. Other Nonfiction
    14. Movies on DVD
12. Format Type*

    Select all that apply

    1. Regular Print
    2. Large Print
    3. Book on CD
14. Note (optional)

16. If you would like a selection more personalized to you, just call us, and we’ll be glad to help you with that. Adult Desk: (248) 618-7693 Kids Desk: (248) 618-7692

    If you would like a selection more personalized to you, just call us, and we’ll be glad to help you with that. Adult Desk: (248) 618-7693 Kids Desk: (248) 618-7692

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18. 1. Receive an email copy of this form.
19. Email address

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