E-Book Reader Request Form
Rules:
1. E-book readers should be served in the request order.
2. You cannot hold onto an e-book reader more than a month.
3. Once you return the e-book reader and in noone else is waiting, you can have it back 1 day after. You still need to fill this request form.
Name
First Name Last Name
Email
example@example.com
Request Date
Month Day Year
Date Hour Minutes AM/PM Option
How long will you keep the e-book reader?
1 Week 2 Week 3 Week 4 Week
Should be Empty:

E-Book Reader Request Form