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Request for Reconsideration of Library Materials

Name
Date
Address
Phone
Represents (self or name of organization)
Choose 1
Choose 1
Title
Author
Publisher
What, specifically, do you object to in this material?
What do you feel might be the result of reading this material?
What parts of the material do you consider valuable?
Did you read/listen to the entire material?
What do you believe the theme of this material is?

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