Name ________________________________________

Address ________________________________________

City ______________________ State ___________ Zip __________

Telephone ____________________ E-Mail ________________________

Synopsis:

Approximate date ______________________________________________

Story line _____________________________________________________

STORY

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Video memories are also accepted. Arrangements to make a video memory may be made by contacting

the Inez Clemmer Library weekdays at 423-476-0666 from 8:00 A.M. to 3:45 P.M.

Mail address:             Inez Clemmer Library                            E-Mail:  jfloyd@bradleyschools.org