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Educator Request Form
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* Indicates required question
Date when materials are needed
*
Your answer
Pick up date & time:
*
Your answer
Educator Name:
*
Your answer
Reading Levels or Grades:
*
Your answer
Provide email or phone number:
*
Your answer
How many items?
*
Your answer
Subject(s):
Your answer
Type of Materials (choose all that apply):
*
Fiction
Nonfiction
Required
Types of Items (check all that apply):
*
Toddler Books
Beginning Reader Books
Picture Books
Chapter Books
Books on CD
Music CDs
DVDs
Books
Teen Books
Required
Suggested Titles
Your answer
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