* 1. Book Group Contact:
Last Name

* 2. Book Group Contact:
First Name

* 3. Book Group Contact:
Telephone

* 4. Book Group Contact:
E-Mail Address

* 5. When does your book group meet?

* 6. Would you like to meet in your regular meeting place or at the library for this discussion?

* 7. How many people regularly attend your book group?

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