Custom Book Bin Request Form

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Fill out this form to request a bin of books about a particular topic. Please give us at least two weeks to complete your request. Please fill out a separate form for each topic. Book bins will only be held for one week after the pick-up date.

What day would you like to pick up the book bin? *

YYYY

Your name (first and last) *

Your phone number *

Your email address *

What theme would you like the book bin to be about? *

What is the age range of the intended audience? *

Are there any items other than books (such as CDs, DVDs, puppets and stamps) that you would like included in the bin?

With what childcare center or school, if any, are you affiliated?

Any additional information you feel would be helpful.

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