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Teacher Collection Request

Teachers, please use this form to request collections for your classroom.
* Required Field

Date of Request (mm/dd/yyyy format) *

Method of Delivery *
Please view our Reservation / Delivery Schedule

Pick Up Date (mm/dd/yyyy format) *
(Required if method of delivery is Pick Up)
Please allow for at least one business day

Pick Up Location *
(Required if method of delivery is Pick Up)

Name of School *

Grade *

Teacher's Name *

Teacher's Library Card Number *

Teacher's Phone Number *

Teacher's Email Address *

Total Number of Items (30 item limit) *

Subjects *
(Please give as much specific information as possible)

Level of Reading *

Number Of:
Cassettes *
CDs *
Fiction *
Non-Fiction *

Rule and Guidelines:
Limit of 30 items.
Holiday books and "hot" topics may be limited to 5 items.
Requests for multiple copies are subject to availability.
Student teachers need written permission to use their supervising teacher's card.

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