TMLDA Awards Online Application

Name of Library*

Name of Library (exactly as it will appear on the plaque)

Library Director's Name*

Library Director's Phone Number*

To Whom (Mayor, Board Chair, City Manager, etc.) should the formal announcement of the Achievement of Library Excellence Award be mailed? (The person submitting the application will also receive a copy of the formal announcement).

Name*

First Last

Title

Address*

Street Address City State ZIP Code

Name*

First Last

Phone*

Email*

Title

Address*

Street Address Address Line 2 City State ZIP Code

Library TexPress Address

Payment Information*

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