Book Donation Request Form

When funding permits, copies of the following book(s) are made available by the author for free donation to public safety agencies, schools, libraries, and other people/organizations who can use them for public programming, especially programs focused on child safety. Donations are made on a first-come-first-serve basis. Use this form to be added to the list. Please enter only ONE RECIPIENT AND MAILING ADDRESS PER FORM.
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question