"Diary of a Broken Mind" Support Group or Book Club Request
Thank you for your interest in the book, Diary of a Broken Mind:
. This is where you request a date for an in-person book club meeting or meeting by video (google hangout, zoom, skype)
1. First and last name
2. Phone number
3. Approximately how many people in your club/group?
4. What dates might you be looking for?
4a. Additional date (there will be an opportunity to enter more dates at the end if necessary)
5. What time does your club meet?
6. Your location? (City, State)
7. If you are not in Richmond, VA, are you OK with using Google hangout, skype or Zoom? (it will be only two-way. Your group together and me)
8. It would be helpful if some of the participants have purchased a book and were subscribers. You can use this section to leave comments or ask questions.
A copy of your responses will be emailed to the address you provided.
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