Library Book Request Form Title of Book Requested(Required) Author of Book Requested(Required) How would you like to receive your book? I will pick up my book from the no-contact location. Please have a Wilco Iris student leader deliver the book to me at school. Please ship the book to me (free of charge). Your Name(Required) First Last Email (Please do NOT use your school email address!)(Required) Enter Email Confirm Email Mobile Phone(Please include if you'd like to communicate via text message.)Shipping Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Name of School You Attend Your Grade Level 9th 10th 11th 12th In order to check out a book, please read and agree to the following terms.(Required)By clicking this box, I acknowledge the following: (i) everything in the above form is accurate; (ii) I am a high school student residing in Williamson County, TN; (iii) I am borrowing this book from Wilco Iris; (iv) I agree to take good care of any book loaned to me and to return it on time. I agree to the library checkout terms.PhoneThis field is for validation purposes and should be left unchanged.