Request for Reconsideration Form

Title(Required)

Author(Required)

Publisher(Required)

Requested initiated by(Required)

Full name

Email Address(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Complaint represents:(Required)

If an organization, please give name:(Required)

If not reply n/a

How was the book brought to your attention?(Required)

Do you know, or have read anything about the author?(Required)

Did you read the entire book?(Required)

Are you considering the book as a whole?(Required)

What in your opinion is the theme of the book?(Required)

What do you object to in the book? (Please be specific)(Required)

Have you read or heard any reviews of the book?(Required)

In your opinion is there anything constructive about the book?(Required)

For example: Do not loan to; Re-evaluate the book; Withdraw it from the library