Book Recipient Sign Up Form

Register with The Book Fairies to stay informed about future book distributions so you can request books when they are available.

"*" indicates required fields

Your First Name*

Your Last Name*

Email Address*

Enter Email Confirm Email (case-sensitive)

Your Mobile Phone*

Please provide your phone number where we can contact you at the time of delivery

Your School/Work Phone

School/Work Phone Extension

Your Title/Position*

Please search for your school or organization in our database by entering the name below. If you are unable to find it, please check the box below.

Search for your school or organization by Name

If you could not find your school/organization in our database, choose one of the below options:

I am part of a school or organization (registered 501(c)3) that was not in your database

I am not part of a registered non-profit or school

I am requesting books as a:*

School

Organization

Name of Your School or Organization*

Event Title

Title of your event or name of your community group

Event Address

Street Address City State ZIP Code

Event County

School or Organization Address

Street Address City State ZIP Code

School or Organization County

What percentage of the individuals you serve live at/below the poverty level?

My school receives Title 1 funding*

Please note, we will review all requests and let you know if your school/organization is not eligible to receive books from us.

Yes

I'm not sure

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Comments

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