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Connecting People and Ideas
Fond du Lac Public Library
32 Sheboygan St.
Fond du Lac, Wisconsin 54935
(920) 929-7080 email: reference@fdlpl.org

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Teacher Collection Request Form

Before completing this application, please read our Teacher Collection Policy.

One week notice is required for Teacher Collection Requests.

Required fields are indicated by an * .

Pick-up Date:
Name:*
School Name :
Telephone Number:*
E-mail address:*
Library Card Number:*
Grade level / Age level:

Subject matter/Specific titles:

Number of items needed in these categories:

Fiction Nonfiction
Video Music

Total number of items needed:

Additional information:
c2007 Fond du Lac Public Library
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