GBPL Home Page: Lost Materials Form


Lost Book
To pay for lost or damaged material, complete this form, and send a copy with your check to the library.

Materials Information
Amount
Title of Item:
Format: (Book, video, etc.)

Patron Information
First Name
Last Name
Address
City
State
Zip Code
Phone
Fax
E-Mail

Complete this form, print it out, and send it with your check to:
Great Bend Public Library 1409 Williams Street Great Bend, KS 67530