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Program Information Form

Program Title
Preferred Date
Time
Second Choice Date
Time
Contact Person
Address1
Address2
City
State
Zip
Phone
Email Address
Program Description
Instructor's Qualifications (Degrees, Certificates, etc.)
Other Notes
PLEASE NOTE: The library’s program committee will evaluate your program based on its educational, informational, and recreational merit. Programs can NOT be promotional in nature or held with the intention of generating revenue. We will notify you in a timely manner if we decide to host your program.

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