book club registration form
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Book Club Registration Name of Book Club:_____________________________________________ # of Members_____________ Contact Person :______________________________________________________________________________ Mailing Address:______________________________________________________________________________ (street address)
___________________________________________________________________ (city/state/zip) Phone:______________________________________ Alt Phone:____________________________________ Fax:_________________________________ E-mail address:_________________________________________ Reading Selection Info Needed Date Book is Being Discussed:______________________________________________________ Title of Book:________________________________________________________________________________ Author:_____________________________________________________________________________________ # of books to be ordered:_______________________________________________________________________ (please make an accurate estimate) 10% Discount Agreement In order to receive 10% discount on book club selections, the following must be agreed upon:
a minimum of five (5) books must be purchased 2. Members must identify themselves as part of the book club listed above upon checkout 3. Discount is given for book club titles ONLY 4. The next month's reading selection should be faxed, mailed or dropped off at least 3 weeks in advance Signature: ______________________________________________________Date:_______________________ |
