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* 2. Please enter the name of your reading group

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* 4. Please enter your name and delivery address

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* 5. Please enter your email address

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* 6. Is your group available from the beginning of March until the end of May to read two shortlisted titles, and submit reviews (written or filmed), blogs and photos to Reading Groups for Everyone (www.readinggroups.org)?

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* 7. Would your group like to attend the Readers' Day on Saturday 18 May at the Free Word Centre in London? Groups chosen to attend will receive £300 - either for travel expenses or to spend on books for the reading group.

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* 8. If you answered yes to the above question, please tell us approximately how many members of your group would attend the Readers' Day?

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* 9. Please add any other comments about your application

Thank you!

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