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2. Are you a community organization that would like to work with the library? Please fill out the information below and we will be in touch with you.
4. First Name: *
6. Last Name: *
8. Organization Name: *
10. Email: *
12. Phone Number:
14. Have you or your organization worked with the Burlington Public Library in the past?*
16. What type of program or outreach partnership are you planning?*
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18. 1. Receive an email copy of this form.
19. Email address

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20. Submit

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