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JOIN THE PLAINFIELD PUBLIC LIBRARY'S
GROUP OF LIBRARY CHAMPIONS

Join the Plainfield Public Library's group of Library Champions to ensure that
Library Service is enjoyed by future generations!
Name *

First
Last
Email *
Phone Number

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### 		-
####
Mailing Address

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country
Ward Number
Type of Champion *
 Plainfield Resident 
 Non-Resident Library User 
 Non-Resident Supporter 
 Work in Plainfield 
 Student 
School Attending
Please contact me about news and events *
 Yes 
 No 
I am willing to have my name and comments used in Library Champion promotional materials and campaigns. *
 Yes 
 No 
Let us know why you are a Library Champion.
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