1.

2.

3.

4.

Name:

Local Address:

Spring/Vacation Address:

Local Phone/Vacation Phone:
/

E-mail:

Credit Card Number (Expiration)

If you are ordering online, please use our secure shopping cart system, by clicking on the order buttons on the pages of book titles and then typing "Summer Reading Special" in the comments area.

This form is only to be dropped off at the store or to assist in telephone orders.

choose your books!