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Request for Reconsideration of Library Materials

2. Title:
4. Request initiated by:
5. Date:
7. Telephone:
8. Email:
9. Address:
11. Did you read/view/listen to the entire work?
13. To what do you object? (Please be specific; cite pages.)
15. What do you feel might be the result of using this material?
17. Note: You will receive a written response from the library director.
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19. 1. Receive an email copy of this form.
20. Email address

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21. Submit

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