Contact Information Template

Please fill in your information so that I am able to communicate to you regarding the book club.

Thank you!
1.What is your first name?
2.What is your last name?
3.What area are you located in?(Required.)
4.What is your preference of communication for this book club; email, text message or fb messenger?(Required.)
5.What is your preferred day of the week to meet?(Required.)
6.What is your favorite genre?(Required.)
7.Do you have a favorite author, if so who?(Required.)
8.Please provide your contact information:
mobile phone number and or email address
(Required.)
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