Please bring me books. I would like:
| _____ fiction | _____ mysteries |
| _____ non-fiction | _____ magazines |
| _____ biographies | _____ audio books |
| _____ poetry | _____ short stories |
| _____ science fiction | _____ large print books |
| _____ books by following author: | |
| _____ children's books for age: | |
| _____ fantasy (e.g. Harry Potter series) | |
The following topics interest me (circle as many as apply)
| gardening | history | environment | philosophy |
| craft | sports | nutrition | travel |
| cooking | art | photography | architecture |
| other: _____________________ | |||
| Name: | _______________________________ |
| Address: | _______________________________ |
| Phone #: | _______________________________ |