School/Library/Parent Inquiry Form

Name *

First Name

Last Name

I am a:

Teacher

School Librarian

Town/County Librarian

Guidance Counselor

School administrator

Parent

I am interested in:

Complimentary copy of a book

Purchasing more books for our school

Author Classroom Visit

Author Skype Q&A

Author book signing

Helping to spread this mission

Additional Resources

Mailing address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country