Book Request Form

Please Note: For book orders of more than 1000 books, please contact our Operations Manager, Dana Powell, at [email protected]. These orders require more planning and are subject to current book inventory availability.

*Indicates a field is required

Preferred Phone: 

Board Books (Birth – Pre-K):
Picture Books (Pre-K – 2nd Grade):
Early Chapter/Advanced Picture (2nd Grade – 4th Grade):
Upper Chapter Books (4th Grade – 5th Grade):
Middle School Books Requested (6th Grade – 8th Grade):
High School Books Requested (9th Grade – 12th Grade):
Adult Books (18 and Up):
Religious Books:
Activity Books:
Free Bookmarks for Students:

Anything else we should know about the books you are requesting?
How many children do you plan to serve with these books?* (Please enter numbers only, no text or number ranges)
What specifically will these books be used for? (Hold down the Ctrl button to select more than one option.)*

How many books do you plan to provide per child?* (Please enter numbers only, no text or number ranges)
What date would you like to pick up your books? Pick-up days are Monday-Thursday. (Please enter a date in the format mm/dd/yyyy)*
What time would you prefer to pick up your books on the date you selected? Pick up times are between 9:30am-3:30pm.*
When is your expected book distribution date?*
Would you like to self-select your books or have them pre-boxed by Promising Pages staff?*