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Book Club Request Form
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* Indicates required question
Requestor's Name:
*
Your answer
Email Address
*
Your answer
Name of your Book Club
*
Your answer
Does your book club meet in person or virtually?
**Note** Melissa will attend all book clubs virtually unless otherwise coordinated.
*
In-Person
Virtually
Hybrid (Both)
Required
Describe your Book Club's focus?
*
Your answer
Would you like this to be a standard Q&A about one of Melissa's books or a for her to speak about a specific topic?
*
Standard Q&A
Specific Topic
Other
For "Other" or "Specific Topic" response to the above, what woudl you like her to speak about?
Your answer
When would you like Melissa to attend your book club (date/time - please include time zone)?
Your answer
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