RPLS New Contact Information

 

Library Name: __________________________________________________

Address: ______________________________________________________

City, ST zip: ____________________________________________________

Phone: ______________________  Fax:_____________________________

Library Director: _________________________________________________

Official Title: ____________________________________________________

Email Address: __________________________________________________

Web Page Address: ______________________________________________

 

New Staff Members:

Name

Title

Email Address

     
     
     
     
     
     

 

New Board Members:

Name

Title

Email Address

     
     
     
     
     
     
     

 

Other changes in library information:

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

 

Date this form completed: _________________________________________

 

RPLS

New Contact Information