HERC Material Request Form
Please use one form per request.
(Literature Sets must be requested via phone 707-445-7072 or through email herc@hcoe.org)
Email address *
Name
Your answer
School
Your answer
Courier Day
When would you like the materials delivered? *
MM
/
DD
/
YYYY
Grade level(s) or reading level(s)
Your answer
Number of books
Your answer
Are these for recreational reading?
Subjects or topics desired
Your answer
Special instructions
Your answer
Please give a phone number or email we can reach you at if we have questions.
Your answer
Submit
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