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* 1. School or Library Name:

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* 2. Contact's Name & Job Title:

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* 3. Contact's Email Address:

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* 4. Contact's Phone Number:

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* 5. Mailing Address:

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* 6. City & Zip:

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* 7. Number of Posters:

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* 8. Number of Bookmarks (MUST be a multiple of 100):

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* 9. Number of Gold Seals (for winning books)

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* 10. Number of Silver Seals (for honor books)