Purple Cloud Book Club Registration

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* 1. Please provide your name and email address

Name

Email Address

Phone Number

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* 2. When would you prefer to meet?

Third Thursday of Every Month

Third Friday of Every Month

Other (please specify)

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* 3. Mailing Address

Address

City & State

Zipcode

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* 4. Do you prefer hard copy or E-books?

Hard Copy

E-Books

Both are fine