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Book Renewal

You may renew your book(s), audio and video cassettes for a further two weeks using this form, please check carefully before sending. You must fill in your name and email address.

Todays Date is 05/02/12 In two weeks it will be 19/02/12

Please enter dates in the format DD/MM/YY

	Your Name:
	Your Email Address:

item 1	Title:
	Author:
	Due Return Date:

Item 2	Title:
	Author:
	Due Return Date:

Item 3	Title:
	Author:
	Due Return Date:

	Message: