Such question shall be placed upon the official ballots for such election in substantially the following form:

“Shall (name of municipality submitting the question) discontinue joint participation with (name of the other participating municipality or municipalities) in the support, maintenance and control of a joint free public library pursuant to chapter (insert chapter number of this act) of the laws of 1959?”

L.1959, c. 155, p. 625, s. 22, eff. Sept. 4, 1959.