Date__________________________
Author/Producer__________________________________
Title_____________________________________
Publisher/Distributor_____________________________________
Name of person requesting reconsideration_____________________________________
Address_______________________________________ Phone_______________________
Kingston Library Card #___________________________________________
Why do you request reconsideration of this item? Use an additional page if necessary.
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To what aspect of the item do you specifically object? Use an additional page if necessary.
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Did you read, view, or listen to the item in its entirety? If not, what portions of it did you read, view, or listen to?
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What would you like your library to do about this item? Use an additional page if necessary.
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