Exit this survey 2019 Book Stock Request Form This form is to be completed if your group would like to request books be stocked at the bookstore during the Annual Conference. **Please complete one form per author** Question Title * 1. Sponsor Question Title * 2. Author Name Question Title * 3. Conference Program Title(s) Question Title * 4. Book Request 1 Book Title Publisher ISBN # Publication Date Quantity Requested Format (hard cover or paper back) Question Title * 5. Book Request 2 Book Title Publisher ISBN # Publication Date Quantity Requested Format (hard cover or paper back) Question Title * 6. Book Request 3 Book Title Publisher ISBN # Publication Date Quantity Requested Format (hard cover or paper back) Question Title * 7. Book Request 4 Book Title Publisher ISBN # Publication Date Quantity Requested Format (hard cover or paper back) Please note that the number of titles and copies are at the discretion of NYLA / Northshire. A submitted request does not guarantee the availability of a title at the conference. Every effort will be made to stock your requests, but NYLA cannot be held accountable for title availability. Question Title * 8. Submitted by Name Affiliation Email Address Done