FIRST
ANNUAL BOOK ‘EM
“Buy a Book and Stop a Crook”
Hosted
by Waynesboro Police Department
Sponsored
by
and Central Shenandoah Crime Stoppers
AUTHOR: _____________________________ q check here if you do not wish to
participate
SERIES NAME:
_____________________________________
BOOK TITLES TO BE SIGNED AT THE EVENT
(please include the date of publication
beside each title):
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
PUBLISHER (please use one sheet per
publisher):
____________________________________________________
IS YOUR PUBLISHER:
q Willing to donate ______ books for the
event of the titles listed above (minimum: 50)
q Willing to provide _______ % for each book
sold (minimum: 40%) *
* Proceeds are divided between Shenandoah Valley Reading Council, Central
Shenandoah Crime Stoppers, and Friends of the Library for use in promoting
literacy and reducing crime.
PUBLISHER CONTACT TO ARRANGE FOR BOOKS AND
PUBLICITY:
____________________________________________________
(Publisher)
____________________________________________________
(Contact Name, followed byTitle)
____________________________________________________
(Phone)
____________________________________________________
(Address)
____________________________________________________
(Email Address)
AUTHOR CONTACT:
____________________________________________________
(Phone)
____________________________________________________
(Address)
____________________________________________________
(Email Address)
To
Submit this form: Email
to: bookem@pmterrell.com
Mail
to: Book ‘Em
c/o
Patricia M. Terrell