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Book Drive Information Form
Please tell us about yourself:
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First Name of Contact Person
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Last Name of Contact Person
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Address
City
State
Zip
County
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Fairfield
Hartford
New Haven
New London
Middlesex
Litchfield
Tolland
Windham
Phone
*
Email
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Book drive is a project of a/an:
Individual or
Group
If individual, name if different than contact person:
If group, type of group:
Business/corporation
Book club
Civic
Early childhood center
Health facility
Religious
Scouts
Other
If other please specify
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Books are being collected for
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Birthday
Bar or Bat Mitzvah
Confirmation
Community service
Event
Other
If other please specify
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:
Start Date
End Date
Where is/are the collection site(s)?
Is this your first book drive for Read to Grow?
Yes
No
How did you learn about RTG?
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Internet search
Health facility
Media
Word of Mouth
Other
If other please specify
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Inspiration for running this book drive:
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