Washington Talking Book & Braille Library

WASHINGTON TALKING BOOK & BRAILLE LIBRARY BY-MAIL SUMMER READING 2013 REGISTRATION

Submit the registration information below in one of 3 ways: 1) Mail this completed form to: Mandy Gonnsen, WTBBL, 2021 9th Ave, Seattle, WA 98121-2783 2) Fax it to 206-615-0437 3) Email the requested information to [email protected]

Name: ______

I am already a WTBBL patron ____ YES ____ NO (If NO, please download or request a WTBBL application and submit that as well.)

My address: ______Apt______City______WA, Zip______

Phone #:______

Email Address(es): ______

My Grade Next Fall______

I want to participate in the: ____ “Dig Into Reading” Early Reader Program (Reading Levels Preschool-Grade 1) ____ “Dig Into Reading” Program (Reading Levels Grade 2-Grade 6) ____ “Beneath The Surface” Teen Program (Reading Levels Grade 7-Grade 12)

I’d like my summer reading packets to include a braille transcription _____YES

I’d like my summer reading packets to include a Spanish version _____YES

These are the kind of books and authors I like right now: ______

Questions? Contact: Mandy Gonnsen, 206-615-1253 or [email protected] WASHINGTON TALKING BOOK & BRAILLE LIBRARY BY-MAIL SUMMER READING 2013 REGISTRATION

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Questions? Contact: Mandy Gonnsen, 206-615-1253 or [email protected]