I Am Raising A Reader
v2
AFFILIATE/ORGANIZATION INTEREST FORM
Name of RAR Affiliate / Organization
*
Main Coordinator First Name
*
Main Coordinator Last Name
*
Main Coordinator Email Address
*
What is the best phone number to reach you?
*
Which program option are you interested in?
Holidays (Nov. 27 -Jan. 5)
How many children will you serve through I Am Raising A Reader?
Would you like to receive marketing materials?
Yes
No
Additional Comments: