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2. We strongly believe that the Ankeny Kirkendall Public Library is the community's library and we encourage everyone to feel like they can share comments, suggestions, or ideas with us. The form below allows community members to submit requests to be included in a monthly agenda meeting with the Library Board of Trustees. The form is submitted to the Library Director, who may follow up with you regarding any clarifications.
4. First Name
5. Last Name
7. Address
9. City
10. State
11. Zip Code
13. Phone
14. Email
15. Subject of Agenda Item:
17. Summary/explanation/background of what you would like to discuss with the Library Board of Trustees:
19. Action Requested:
21. What would be the budget impact (if applicable) for this fiscal year:
23. What would be the budget impact (if applicable) for this fiscal year:

    1. Yes
    2. No
Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field