PLA Affordable Connectivity Program 
Please use this form to register and assign those interested in doing the ACP sign up program at the Avon Park Library.  One person per time slot and the time slots will update. 
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What time would you like to schedule? *
Name of patron attending (Last name, First name) *
Phone number *
Email address *
Please remember to give patrons the printed packet to review before coming to their appointment. - Check yes that you did this: 
*
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This form was created inside of Heartland Library Cooperative.

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