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2. Submission date
   Submission date
4. Name of organization (if applicable)
6. First Name
7. Last Name
9. Email
10. Phone Number
12. Description of Display
    Enter the approximate number of pieces and value of each item. (This may not apply for display in the Children's area.) You may be asked to supply a detailed list with photos when you mount your display.
14. Check the area(s) that are best for your display (select all that apply)
    
    Children’s Center - 1st floor

    1. Fiction wall west side: cork board, 5' 2" H x 10' 10" W (2-3 month display)
    2. Picture book walls east side: cork board, 4’ H X 12’ W (2-3 month display)
    3. Locked glass display case 30” H X 32” W X 20” D with removable glass shelf (2-3 month display)
    4. Locked glass display cases at Children's Center entrance: two adjacent cases, each 7’2” H X 4’6” W X 8" D. Cases have a cork board background and removable/adjustable glass shelves (2-3 month display)
16. Would you like to reserve one or two of the locked glass display cases, 30” H X 32” W X 20” D?

    1. One

    1. Two
18. When would you like to share your display?
20. Additional details (optional)
22. Attachments (optional)
    If desired, please attach image(s) of your display.
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit Submit and Print

* indicates a required field