ALCOTT SCHOOL PTG
BIRTHDAY BOOKS
Order Form
Dear Alcott parents and students:
To participate in the Alcott school BIRTHDAY BOOKS program please fill out the following form. You may enter, 
  • a specific book title (a selection from the Alcott school library Wish List or your own title) 
  • a dollar amount to put toward the purchase of books selected by the Alcott school librarian
If you wish to honor a particular teacher or staff member be sure to include the name of the honoree below. Their name will be printed on a distinctive bookplate placed in the front of the book along with your child’s name and birth date. Thank you very much for your generous contribution and happy birthday! 
In celebration of my birthday I wish to (check one),
 
o DONATE THE FOLLOWING BOOKS. Note, to minimize the number of duplicate books in the library we ask that you enter three book titles. 
Choice1:
_____________________________________ by _____________________
(Title of book)
(Author)
Choice2:
_____________________________________ by ______________________
(Title of book)
(Author)
Choice3:
_____________________________________ by _____________________
(Title of book)
(Author)
o Put towards the purchase of a book selected by Sandy Peirce. 
A check in the amount of $_________ is enclosed. (Payable to "Alcott PTG BIRTHDAY BOOKS")
Book dedicated to: _______________________________________
(teacher, staff, student, ...)
Student's name: _______________________________________
(Full name)
Student's birth date: _______________________________________
(mm/dd/yy}
Please bring or mail your order form
To Alcott School office, there is a blue BIRTHDAY BOOKS folder in the PTG mail box or 
Alcott School, 91 Laurel Street, Concord, MA  01742, Attention of BIRTHDAY BOOKS.