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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. If you have found materials in the Library about which you have concerns, please complete this form to ensure prompt, complete consideration by Library staff.

8. Title*
10. Author*
12. Format*

    1. Book
    2. Compact Disc
    3. DVD
    4. Other
14. First Name*
15. Last Name*
17. BRPL Barcode Number*
18. Are you a resident of the City of Boca Raton?*

    1. Yes
    2. No
20. Address*
22. City*
23. State*
24. Zip Code*
26. Telephone*
27. Email*
29. Representing*

    1. Him/Herself
    2. Organization
30. If other, what?
32. What do you believe is the theme of this work?*
34. What are the specific elements in the work to which you object?*
    Please be specific and cite pages.
36. Did you read, view, or listen to the entire work or a portion of the work?*

    1. All of the Work
    2. Part of the Work
38. How did this material come to your attention?*
40. Have you read BRPL's Collection Development Guidelines?*

    1. Yes
    2. No

    If not, please do so.
42. What do you feel might be the result of reading, viewing, or listening to this material?*
44. Are you aware of the critics' judgment of this item?*
46. In your opinion, is the work suitable for some age groups?*
48. What course of action do you request the Library to take with regard to this work?*
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50. Submit

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