Book, Movie or CD Review Form

i'm telling you about a book movie CD

title:
author (for a book)/artist (for a CD):

i give this thumbs up thumbs down
because:

* review submitted by: (it's OK - only your first name and last initial will appear with your review)

* age:

* address:

* city: (this will be on the review page, too)

* state:

zip:

* phone:

* e-mail:

* you've gotta fill these in!

* review submitted by:		(it's OK - only your first name and last initial will appear with your review)
* age:
* address:
* city:		(this will be on the review page, too)
* state:
zip:
* phone:
* e-mail:

5/18/05 Duluth Public Library, 520 W. Superior St., Duluth, MN 55802

5/18/05
Duluth Public Library, 520 W. Superior St., Duluth, MN 55802