Community Information Form

Thank you for your interest in the Merrimack Valley Library Consortium's COMMUNITY INFORMATION DATABASE.  For inclusion in this database, please fill out the information below and select submit. You may also print a copy of the form and mail it to:

Newburyport Public Library

Community Information

94 State Street

Newburyport MA 01950

Please provide the following contact information:

Organization name:
Address:
City:
State:
Zip Code:
Phone:
E-mail:
Web Address:
Contact Person:
Contact's Phone:
Area Served:
Eligibility Requirements: Yes   No
If Yes then please describe:
Are you a non-profit? Yes   No
Funding/Fees:
Volunteer Program:
Brief synopsis of organization:
Additional Information:

Copyright © 2006 [Newburyport Public Library]. All rights reserved.
Revised: November 27, 2006