EmailMe Form - 2023-24 ALD Maria Leonard Senior Book Award

Number of Books Requested *

Each chapter is entitled to one free copy of the book, while supplies last. Additional copies may be purchased for $20 each.

Institution *

Contact for the Order (Advisor) *

First Last

Advisor Email *

Advisor Phone

### - ### - ####

ALD offers to send Senior Books directly to the students (on behalf of the chapter). *

Send to the advisor/chapter (as per usual)

Send directly to the student recipient

If you choose to send the book directly to the student, please be sure to include the student's name, for shipping, and the student's address in the "Shipping Address" below.

If choosing the "Send Directly to the Student Recipient," please write the student's full name here.

Shipping Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

If sending multiple Senior Books directly to the students, please list additional names and addresses here.

Date Needed By

MM / DD / YYYY

This date should be within 30-45 days of your Induction ceremony. Please allow ALD Headquarters two weeks to process and ship.