Endorsement Form

* = required field
Name *
Organization *
Title
Address
City
State
Zip
Email
Yes, I/We endorse the campaign being conducted by the Akron-Summit County Public Library. I authorize the use of my name for general publicity purposes related to the campaign. *
Yes, a representative from the Akron-Summit County Public Library Campaign can speak at an upcoming event.
Event
Contact Person
Phone
Date
Time
Location
Address
City
Zip
Yes, I can help the campaign in other ways, please contact me to volunteer.

Citizens for the Library's Future, Treasurer, Diane Kalgreen, 1260 Country Club Dr., Akron, OH 44313

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