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Ready
To Learn Material
Request Form
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Fax
this form to (989) 774-4427
or mail it to:
1999 E. Campus Dr.
Mt. Pleasant MI 48859
Attention: Charlotte Galgoci
(989) 774-3610
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Today’s
date:_________________
Name_______________________________ Program________________________________
Mailing address (if necessary) ______________________________________________________
_____________________________________________________________________________
Phone__________________________________
Event Date_____________________________________________________________
I need the materials by:(please allow 2-3 days before event to preview
materials) _________________________________________________________________________
Description of event:______________________________________________________
Theme (if available):_______________________________________________________
Name of video:__________________________________________________________
Name of book:__________________________________________________________
Activity:________________________________________________________
Do you need help finding an activity?_____________ ages of children
participating _____________
*Please
make request at least two weeks before event is to take place.
*Materials are to be returned within one week of event
*Any books returned damaged will must be replaced at the expense
of the borrower.
*There is a $1 a day charge for any videos and books not returned
within one week of event date, unless other arrangements have been
made.
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