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2. 
4. Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing. History.—s. 1, ch. 2006-232.
6. First Name*
7. Last Name*
9. BRPL Barcode Number*
10. Email*
12. Home Phone*
13. Cell Phone
15. Work Phone
17. How would you like to be notified?*

    1. Email
    2. Home Phone
    3. Cell Phone
    4. Work Phone
18. Most libraries loan materials for free. If there is a charge, how much are you willing to pay?*

    1. Only if free
    2. Up to $10.00
    3. Up to $20.00
    4. Over $20.00
20. Title of Periodical*
21. Volume/Issue/Date*
23. Title of Article *
24. Page Numbers*
26. Specify Pickup Location*

    1. Spanish River Library
    2. Downtown Library
30. Copyright Warning
    The copyright law of the United States (Title 17, United States Code) governs the making of photocopies or other reproductions of copyrighted material. Under certain conditions specified in the law, libraries and archives are authorized to furnish a photocopy or other reproduction. One of these specified conditions is that the photocopy or reproduction is not to be "used for any purpose other than private study, scholarship, or research." If a user makes a request for, or later uses, a photocopy or reproduction for purposes in excess of "fair use," that user may be liable for copyright infringement. This institution reserves the right to refuse to accept a copyright order if, in its judgment, fulfillment of the order would involve violation of copyright law.
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32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

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