Book Donation Request Form
Please allow 30-45 days for a response. Thank you.
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First Name *
Last Name *
Address *
Contact phone number *
Email Address *
Describe the level of economic distress your population experience. *
Percent of your population that lives on or below the poverty line. *
Describe the population you serve:
Enter a percentage number for each ethnic group in the next 6 questions (0%, 10%, etc)
Black/African American
Asian American
Native  American
White, Non-Hispanic
Other racial/ethnic  minority
Are you a 501c3? *
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This form was created inside of GrassROOTS Community Foundation.