Teen BookBox Reading Profile

First Name

Last Name

Age

Library Card Number

Mail Me My Box

Yes

(must be in the 97420 zip code)

Address

City/Town

State/Province

ZIP/Postal Code

Do you like Graphic Novels?

Yes

Rate each from 1-5 (5 being the most important)

List Your Favorite Books, Movies, or TV Shows

Anything We Should Try to Include or Avoid?