Shout Your Abortion Book Club Form
Shout Your Abortion is a collection of abortion stories, creative work, and tools designed to help readers join the movement to normalize abortion by starting conversations in their own lives. SYA wants to help facilitate these conversations however we can—and that's why we're sponsoring book clubs across the country!

Book clubs can be large or small, digital or IRL, public or private. Tell us a little but more about what you have in mind so that we can have a better idea how to support your process!

DEADLINE: 5/1/19 (for book clubs happening before 9/1/19)

Email address *
Name *
Your answer
Phone number *
Your answer
Address to send book(s) *
Your answer
Please describe your group. Are you a club/organization or is this a group of your friends?
Your answer
Why do you want to host a Shout Your Abortion book club?
Your answer
What town/state is your club going to take place?
Your answer
How many books are you requesting?
Your answer
Please provide us with names and emails for all participants in your discussion group/club
Your answer
What amount per book are you able to pay? (the book retails for $24.95)
Please describe your vision for your event, e.g. location, date(ish), duration, flow, takeaways, etc. It's okay if your plans change but we'd like to hear more about your vision.
Your answer
Will this be a public or private event?
Your answer
Will you be hosting an event beyond a straightforward discussion?
Your answer
Do you want a Shout Your Abortion staff member to speak with you before your discussion/event?
Your answer
Do you want a staff member to Skype into your discussion?
Your answer
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