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Important Messages for Book Club Organizers and Members:

• Allow at least 3 weeks’ notice for book club kits to arrive at your branch (for example, if your pick up date is September 25th, your request must be in by September 4th)
• Pick-up dates listed should be at least 4 weeks before your discussion date
• Gather all your information in one place before starting to fill out the online form
• Pick titles from the book club list in order of preference
• Provide at least 3 titles for each pick-up date (for example, if you list 10 discussion dates, please list 30 book title selections)
• Do not repeat book titles selections
• Visit our Book Club page for more information and consult staff at your pick-up branch if you need assistance completing this online form

Note: That while we endeavor to send out 12 copies of a title in each kit, the actual number of copies may be less depending on the returns from previous kit borrowers and the condition of the copies returned.

Pickup Branch Library: * - Select -Ancaster BranchBarton BranchBinbrook BranchBookmobileCarlisle BranchCentral BranchConcession BranchDundas BranchFreelton BranchGreensville BranchKenilworth BranchLocke BranchLynden BranchMillgrove BranchMount Hope BranchRed Hill BranchRockton BranchSaltfleet BranchSherwood BranchStoney Creek BranchTerryberry BranchTurner Park BranchValley Park BranchWaterdown BranchWestdale Branch

Club Name: *

Club Contact: *

(First name, last name)

Club Phone Number: *

Club Contact Email: *

Selection 1

Pick-up Date: *

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year201220132014

Discussion Date: *

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year201220132014

Selection 2

Pick-up Date:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year201220132014

Discussion Date:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year201220132014

Selection 3

Pick-up Date:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year201220132014

Discussion Date:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year201220132014

Selection 4

Pick-up Date:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year201220132014

Discussion Date:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year201220132014

Selection 5

Pick-up Date:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year201220132014

Discussion Date:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year201220132014

Selection 6

Pick-up Date:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year201220132014

Discussion Date:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year201220132014

Selection 7

Pick-up Date:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year201220132014

Discussion Date:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year201220132014

Selection 8

Pick-up Date:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year201220132014

Discussion Date:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year201220132014

Selection 9

Pick-up Date:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year201220132014

Discussion Date:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year201220132014

Selection 10

Pick-up Date:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year201220132014

Discussion Date:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year201220132014

Selection 11

Pick-up Date:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year201220132014

Discussion Date:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year201220132014

Selection 12

Pick-up Date:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year201220132014

Discussion Date:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year201220132014

Title 1: *

Title 2: *

Title 3: *

Title 4:

Title 5:

Title 6:

Title 7:

Title 8:

Title 9:

Title 10:

Title 11:

Title 12:

Title 13:

Title 14:

Title 15:

Title 16:

Title 17:

Title 18:

Title 19:

Title 20:

Title 21:

Title 22:

Title 23:

Title 24:

Title 25:

Title 26:

Title 27:

Title 28:

Title 29:

Title 30:

Additional Information:

Personal information contained on this form is collected under the
authority of the Freedom of Information and Protection of Privacy Act,
1990. MFIPPA\Regulations 29. The information collected will be used in
the process of the library’s business. Questions regarding the
collection of this information should be directed to the Director of
Digital Technology. Freedom of Information Requests should be mailed to
Hamilton Public Library, Privacy Officer, P.O. Box 2700, Hamilton, ON
L8N 4E4.

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