If you wish to recommend the removal of an item from the collection, please answer the questions below. You may also download and print a form to fill out by hand.

All contact information is mandatory, since the library director will respond to all requests.

Your Name and Contact Information

First and Last Name: *

Telephone Number: *

Email: *

Street Address: *

City: *

State: *

ZIP Code: *

Item Information

Author of the Item:

Title of the Item:

How was the Item Brought to Your Attention?:

Do You Know What Critics and Reviewers Think of This Item?:

Yes

No

Have you read/viewed/listened to the entire item?:

Yes

No

Are you objecting to the entire item? :

What, in your opinion, is the theme of the item? :

What are your objections to the book? Be specific and cite examples::

In which branch is the item located? (Check all that apply.) :

Algansee

Bronson

Coldwater

Quincy

Sherwood

Union Twp.

In what section of the library is the item shelved?:

Adult

Young Adult

Juvenile

Audiovisual

Other

What do you feel might be the result of reading/listening/viewing this item? :

If the item were removed from the Library, what would you recommend to replace it?:

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