Louisiana Readers' Choice Supply Order Form

1.School or Library Name:(Required.)
2.Contact's Name & Job Title:(Required.)
3.Contact's Email Address:(Required.)
4.Contact's Phone Number:(Required.)
5.Mailing Address:(Required.)
6.City & Zip:(Required.)
7.Number of Posters:
8.Number of Bookmarks (MUST be a multiple of 100):
9.Number of Gold Seals (for winning books)
10.Number of Silver Seals (for honor books)