Application Page 5

Application Page Links: Introduction - Page 2 - Page 3 - Page 4 - Page 5 - Page 6
MTBL Homepage: http://msl.mt.gov/talking_book_library

HOW DID YOU LEARN ABOUT US?

Please help us assess where you learned about the Montana Talking Book Library. It will help us plan our educational and outreach programs. Check one or more of the following that apply:

___Personal Physician
___Eye Care Professional
___School System
___Another talking book or Braille reader
___Montana Services for the Visually Impaired
___Congregational Worker or clergy member
___Public Library
___Newspaper
___Radio
___Television
___State or Local Agency

___Other____________________________________________ (please explain)

___Would you like a presentation about our library services made in your
community? If yes, contact name and phone#: _____________________________

Other Comments: ____________________________________________________
______________________________________________________________________
______________________________________________________________________

 

INSTRUCTIONS FOR RETURNING APPLICATION FORM

Fold application form (pages 1-4) inside these last two sheets. Fold in thirds with the library address on the outside flap. Tape closed before mailing. Return postage is NOT necessary. Questions? Call 1-800-332-3400 or 444-2064 in Helena.