Non-Public Textbook Loan Form – Page 2

Thank You! You are almost done.

Please review your loan request information below for completeness and accuracy.
If you notice any errors in your information hit the ‘Back’ button on your browser and make the necessary corrections.

Next, you may request any of the book titles listed below by putting a check in the box provided. Note that exact titles may vary slightly from your school’s list.

Please review the information below for accuracy:

School District of Residence:

Non-Public School:

Parent First Name:

Parent Last Name:

Student First Name:

Student Last Name:

Grade in the Upcoming School Year:

Date of Birth:

Home Street Address:

City:

State:

Zip:

Phone:

Email:

Place a check in the box next to the book titles you are requesting. Titles already checked are the default books for your district:

If a book is missing from this list, please submit the form and reply to the confirmation email to notify us. In some cases, the book may be ineligible, but for the rest, we can only amend your requests once they have been submitted.

Note: The 13-digit ISBN is listed below. The 10-digit ISBN has a different final digit, but refers to the same book