The Jan Companies

Burger & Books Request Form


Burgers n' Books Request Form
* Denotes required field
*School Name:
*Street Address:
*City:
*State:
*Zip:
*Telephone:
*Contact Name:
*Email:
Number of Book Marks requested: (Increments of 10)

Select BK location where you will pick up:
Rhode Island:

Massachusetts:

Connecticut:

Estimated date of pick up:
(Please allow at least 2 weeks before picking up bookmarks)

PLEASE NOTE THAT BOOKMARKS SHOULD NOT BE PICKED UP DURING PEAK TRAFFIC HOURS. WE SUGGEST AVOIDING WEEKDAY LUNCH HOURS NOON - 1:30PM!