Book club request form

Book club request form

If you are the organizer of a book club and would like Susie to participate, please use this short form to submit your request.

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* Required

What is your name? *

Your answer

What is your email address? *

Your answer

Describe your book club. How many members do you have? Where is it located? Does your book club have any themes (e.g. genre, affiliation with a library/school/company)? *

Your answer

How would you like Susie to be involved (e.g. attend a discussion, answer a few questions)? *

Your answer

Any other information you would like to share?

Your answer

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