Book Request Form

Book Request Form

Please complete this form only if your organization has received an email from us with a Book Blast offer. Book Blast notice will either be sent to your organization by email or will appear on the home page of our website. This form is not for unsolicited book request.

If your organization has not registered with the Roads to Reading Literacy Initiative you can register at http://pwirtr.org/register. Please allow 24 to 48 hours for the review of your registration request. If you have already registered it is not necessary to register again.

If you have any questions please feel free to call us at 617-515-7084 or e-mail Maribel Lopez at mlopez@pwirtr.org

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Your Name

Your Organization's name

Address
(No home addresses unless you are a Child-Care Home Provider ) City
State Zip code

Contact Number

Best time to reach you

Your Email

What book title(s) are you requesting?

Alternate title(s) if there is more than one book being offered. This does not apply if there is only one book title being offered.

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