Contact information

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Contact information

This form is for the NOVEMBER pick up. We will contact you when your box is ready around November 18.
Just fill out this form to receive a fun surprise! You'll get 2 books that we handpick for you and a box of goodies!

SPACE IS LIMITED PER AGE GROUP. Once the number is exceeded per each group (children, teens, adults) you will be notified if you will be added to the following month's Book Box sign up.

Name *

Email *

Phone number

Are you an adult (over the age of 18)?

Yes

Other:

Clear selection

If you are not an adult, what grade are you in?

Any food allergies?

Library Card Number

Authors I love:

Books I love:

My hobbies and interests:

I want to receive (check all that apply):

Column 1

Biography/Autobiography

Action/ Adventure

Fable/ Fairy Tale

Fantasy

Folktale/ Mythology

Graphic Novels

Manga

Historical Fiction

Thriller

Humor

Magical Realism

Mystery

Poetry or Novel-in verse

Realistic Fiction

Sci- Fi

Short Story

Spy Fiction

Supernatural

Religious Fiction (include what type in last question)

Would you be interested in receiving nonfiction books? If so, what subjects (examples: Psychology, Dinosaurs)

Is there anything else we should know? Other genres you would like or things you don't want?

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms