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Prairieland Elementary
I.M.C.
Instructional Media Center

Request to Purchase a Birthday Book

All books purchased from the available list cost $15.00. The books are brand new library bound hardback books. Students will be the first child to check the book out. Their name and birthday will be honored on a bookplate in the front of the book. If you purchase a book from a local bookstore, please check with the librarian to be sure it is not going to be a third or fourth copy for our library.

Student First Name Student Last Name

Room Code

Student Birthday

Book Title type title here

Book Author type author here

Selected Title is

from our available list

purchased elsewhere

Payment

I am sending $15.00 cash or check (payable to Prairieland Elementary) for a title from the available list.

I am sending an already purchased book to be added to the Prairieland collection.

Click here for printable form