2015
FIRST LADY/GENTLEMAN’S NAME:
STATE:
STAFF CONTACT NAME:
STAFF PHONE:
STAFF E-MAIL:
NAME OF SCHOOL:
SCHOOL CONTACT NAME:
PHONE:
E-MAIL:
*Please note: School must fill out a form with school’s
tax exempt information when they receive the donation
ADDRESS FOR DELIVERY:
REQUESTED DELIVERY DATE:
*Please note: there is a two-to-three-week turnaround time for processing and delivery
NUMBER OF BOOKS TO BE DONATED:
*Please specify if the First Lady or Gentleman is
donating to multiple schools. Please note that books
are sent in boxes of 100 and cannot be divided
evenly among schools if sent from our warehouse.
WOULD THE FIRST LADY OR GENTLEMAN
LIKE TO HOST A READING EVENT AT THIS
SCHOOL?
Yes, on [please enter date of event or leave blank if TBD]
No
NOTES/COMMENTS:
IF YOU WOULD LIKE TO DONATE BOOKS TO ADDITIONAL SCHOOLS, PLEASE CONTINUE TO
PAGE 2 OF THIS DOCUMENT
Please return completed form to Nadia Almahdi at [email protected]
1
NAME OF SCHOOL #2:
SCHOOL CONTACT NAME:
PHONE:
E-MAIL:
ADDRESS FOR DELIVERY:
REQUESTED DELIVERY DATE:
*Please note: there is a three week turnaround time for processing and delivery
NUMBER OF BOOKS TO BE DONATED:
*Please specify if the First Lady or Gentleman is
donating to multiple schools. Please note that books
are sent in boxes of 100 and cannot be divided
evenly among schools if sent from our warehouse.
WOULD THE FIRST LADY OR GENTLEMAN
LIKE TO HOST A READING EVENT AT THIS
SCHOOL?
Yes, on [please enter date of event or leave blank if TBD]
No
NOTES/COMMENTS:
NAME OF SCHOOL #3:
SCHOOL CONTACT NAME:
PHONE:
E-MAIL:
ADDRESS FOR DELIVERY:
REQUESTED DELIVERY DATE:
*Please note: there is a three week turnaround time for processing and delivery
NUMBER OF BOOKS TO BE DONATED:
*Please specify if the First Lady or Gentleman is
donating to multiple schools. Please note that books
are sent in boxes of 100 and cannot be divided
evenly among schools if sent from our warehouse.
WOULD THE FIRST LADY OR GENTLEMAN
LIKE TO HOST A READING EVENT AT THIS
SCHOOL?
Yes, on [please enter date of event or leave blank if TBD]
No
NOTES/COMMENTS:
NAME OF SCHOOL #4:
SCHOOL CONTACT NAME:
PHONE:
E-MAIL:
2
ADDRESS FOR DELIVERY:
REQUESTED DELIVERY DATE:
*Please note: there is a three week turnaround time for processing and delivery
NUMBER OF BOOKS TO BE DONATED:
*Please specify if the First Lady or Gentleman is
donating to multiple schools. Please note that books
are sent in boxes of 100 and cannot be divided
evenly among schools if sent from our warehouse.
WOULD THE FIRST LADY OR GENTLEMAN
LIKE TO HOST A READING EVENT AT THIS
SCHOOL?
Yes, on [please enter date of event or leave blank if TBD]
No
NOTES/COMMENTS:
NAME OF SCHOOL #5:
SCHOOL CONTACT NAME:
PHONE:
E-MAIL:
ADDRESS FOR DELIVERY:
REQUESTED DELIVERY DATE:
*Please note: there is a three week turnaround time for processing and delivery
NUMBER OF BOOKS TO BE DONATED:
*Please specify if the First Lady or Gentleman is
donating to multiple schools. Please note that books
are sent in boxes of 100 and cannot be divided
evenly among schools if sent from our warehouse.
WOULD THE FIRST LADY OR GENTLEMAN
LIKE TO HOST A READING EVENT AT THIS
SCHOOL?
Yes, on [please enter date of event or leave blank if TBD]
No
NOTES/COMMENTS:
3