2. Instructions:
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4. First Name*
5. Last Name*
7. Library Card Number*
9. Title:
10. Author/Artist:
12. ISBN/UPC/Media Number:
13. Subject:
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15. Formats:

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    1. Book
    2. Magazine
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    4. Music CD
    5. Visual Media
    6. Platform Game
16. Visual Media Preferences:

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    2. BLU-RAY
    3. WII
    4. XBOX
    5. XBOX ONE
    6. PS3
    7. PS4
17. Intended Audience:

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    1. Children
    2. Young Adult
    3. Adult
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