JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Bookclub Signup Form
By signing up, you are agreeing to our terms and privacy policy. You are also agreeing to receiving communications from BHC Press on new releases, book information, special deals and more.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Contact Name: (First & Last)
*
Your answer
Email:
*
Your answer
Club name (If no official name, enter N/A):
*
Your answer
Club location (Enter city and state):
*
Your answer
Number of members:
*
Your answer
What title are you interested in (if interested in more than one title, please submit a form for each:
*
Your answer
How many copies do you wish to order?
We will provide a 20% discount off the current suggested retail price for any quantity over 5 copies.
*
Your answer
What format do you wish to order?:
*
Hardcover
Softcover
Required
What genre/s does your club primarily focus on? (i.e., YA, General Fiction, Fantasy, etc.) If your club reads all genres, please type ALL:
*
Your answer
Would you be interested in having a Skype/Zoom video discussion with the author (subject to author's availability):
*
Yes
No
Required
Date requesting author discussion:
*
MM
/
DD
/
YYYY
Any additional comments or questions:
*
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
