Are You Ready Survey

1. Please select your library from the list below.*

2. Please provide your first and last name.*

First Last

3. Please provide your phone number.*

4. Please provide your email address.*

5. Please provide your home address.*

Street Address Address Line 2 City State ZIP Code

6. Do you have a library card in good standing at one of the library systems listed in the drop down menu?*

Are you willing to get one?