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Book Club Participation Form
Use this form to participate in the Allume Book Club!

Our employees are invited to participate! Fill out the form below, indicating who you are, which book you read, and questions about what you learned. After you submit the form, you will be paid the bonus for the amount specified for each book. Your bonus will be processed within 30 days.

Books & Bonuses:
- December, 2018 - THE FOUR AGREEMENTS by Don Miguel Ruiz - Bonus Amount = $30
- January, 2019 - CRUCIAL CONVERSATIONS by Kerry Patterson - Bonus Amount = $40
- February, 2019 - THE RIGHT QUESTIONS by Debbie Ford - Bonus Amount = $30
- March, 2019 - SCALING UP by Verne Harnish - Bonus Amount = $100
- April, 2019 - FISH! by by Stephen C. Lundin, Harry Paul & John Christensen - Bonus Amount = $20

Email address *
Today's Date *
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Email Address Confirmation
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First name: *
Your answer
Last name: *
Your answer
Mobile phone number: *
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Which “book of the month” did you read? What is the title of the book? *
How does this book relate to the Allumé culture? *
Your answer
What are three things you learned from reading this book? *
Your answer
What are three actions you can take in the next week to put into practice what you learned from this book? *
Your answer
A copy of your responses will be emailed to the address you provided.
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