Drawing Slip Form Template

Usborne Books & More

Drawing Slip

www.StacysBookNook.com

Name*

First NameLast Name

Facebook Name - if different

Who is your party host?*

Address - to be used for prize giveaways only*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail*

example@example.com

Phone Number*

*I do not share or sell any personal information.

What is the best way to keep in touch? Check all that apply*

EmailFacebook messengerTextPhone call

Please share your children's names and birthday's to be added to my birthday club!

Are you interested in earning FREE and discounted books by hosting an Usborne Books & More party?*

Yes! I love FREE books!Maybe, but I have a few questionsNot right now, but contact me in a few monthsNo thanks, I don't like free books

Being a book lady is so much fun! Have you thought about doing something like this?*

Yes! Where do I sign up?!I have thought about it but have lots of questions. Let's chat!I have questions about it and am hesitant about starting my own businessI am not interested right now, but contact me again in 6 monthsI am not interested

Do you have any other questions, comments or concerns you'd like to share with me?