* indicates a required field

Organization*
Contact Person*
Contact phone number*
Contact e-mail*
Participating Location(s)	City: State: Zip: # of Employees: City: State: Zip: # of Employees: City: State: Zip: # of Employees: City: State: Zip: # of Employees: City: State: Zip: # of Employees:

1. When will you conduct the Terrific Tales initiative in your organization?
   Approximate start date: End date: Don't Know Yet
   

2. Do you plan to collect books or funds (to purchase books) for the Terrific Tales initiative?
   Books Funds Both books and fund
   

3. What assistance would you like from Center for Companies That Care?
• Provide the Terrific Tales Book list?
  Yes No
  
• Identify a school near your location(s) that needs classroom libraries?
  Yes No
  
• Send a script for contacting schools about their interest in receiving libraries?
  Yes No
  
• Work with you to plan a program at the school when you deliver books?
  Yes No
  
• Consultation (no charge) to plan the implementation of Terrific Tales in your organization?
  Yes No
  
• Send information about becoming a Terrific Tales sponsor?
  Yes No
  
• Other? Please describe
  
  

Center for Companies That Care will contact you in response to your requests for assistance above.

Once your Terrific Tales initiative has ended, please let us know how many books you collected. The goal is to put 1000 classroom libraries in less-advantaged schools by 2010.