Libraries: Please submit this form if you need additional books.
Your Name
*
Library Name
*
E-mail
*
1.
Request
:
Reason for Request:
My inventory was short, please send additional books.
My enrollment for an age group decreased by more than 5, please adjust my number in #4.
My enrollment for an age group increased, please send addtional books.
2.
Please send the following for each age group:
Birth to 2 (board books):
Additional Books (0-2)
English Bookworms (0-2)
Spanish Bookworms (0-2)
New Enrollment Total (0-2)
Preschool (3-5):
Additional Books (PS)
English Bookworms (PS)
Spanish Bookworms (PS)
New Enrollment Total (PS)
Kindergarten:
Additional Books (K)
English Bookworms (K)
Spanish Bookworms (K)
New Enrollment Total (K)
3.
Choose which month(s) you need:
*
This month's titles
Next month's titles
Other month
This month:
*
Please Select
October
November
December
January
February
March
April
May
Next month:
*
Please Select
October
November
December
January
February
March
April
May
Other month:
*
Please Select
October
November
December
January
February
March
April
May
List Titles:
*
Please Ship
*
Immediately
In time for my distribution
Other
Diistribution Date
*
-
Month
-
Day
Year
Date Picker Icon
Specify
4.
For decreases of more than 5 children in an age group, indicate new enrollment numbers:
Birth to 2 (board books):
# decreased (0-2)
New enrollment total (0-2)
Preschool (3-5):
# decreased (3-5)
New enrollment total (3-5)
Kindergarten:
# decreased (K)
New enrollment total (K)
5.
Updates
If shipping or contact information is different than what is on the standard mailing labels we use for your library each month, please indicate changes and whether changes should be permanent:
6.
Comments:
Comments or clarifications:
Submit Form
Should be Empty: