Aunt Lydia Book Club Registration

Please fill out the information below and then click the submit button.

Giver's Name: *

Giver's Address: *

Giver's City: *

Giver's State: *

Giver's Zip: *

Giver's Phone: *

Giver's Email: *

Exp: *

(Month & Year)

Credit Card Type: *

(Visa, Mastercard, or American Express)

Credit Card #: *

Sec Code: *

Recipient Name:

(If giving as a gift to someone else)

Recipient Age:

(If recipient is a child or young adult)

Recipient Address:

Recipient City:

Recipient State:

Recipient Zip:

Recipient Phone:

Recipient Email:

How often should we send?: *

(Monthly, Bi-Monthly, Quarterly, etc.?)

What binding do you prefer?: *

(Hardcover, Paperback, Either, or Audio)

How long do you want the membership to last?: *

(1 year, 6 months, etc.)

We will wrap each book as a gift and accompany it with a card. What would you like the card to say?: *

Would you like us to include a special message in the initial recipient letter?:

We will send a letter advising the recipient of your gift of the Personal Book Club.

Please list those book genres or categories which most interest your Hand-Picked Book Club recipient: *

(Fiction, History, Politics & Social Science, Science, Biography, Business, Cooking, Science Fiction, Art/Theatre, Spirituality, Large Print, Children's Books, Young Adults, etc.)

Please add any other information regarding the reading taste of the recipient that will help us make the best selection for them:

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Upcoming Programs

Jon Mooallem - Wild Ones

05/21/2013 - 6:00pm

Street:
1 Ferry Building

City:
San Francisco
,
Postal Code:
94111

Country:
United States
Josh Hanagarne - The World's Strongest Librarian

05/21/2013 - 7:00pm

Street:
Fairfax Library

Additional:
2097 Sir Francis Drake Blvd.

City:
Fairfax
,
Postal Code:
94930
David Sedaris - Let's Explore Diabetes with Owls

05/21/2013 - 7:00pm

Street:
51 Tamal Vista Blvd

City:
Corte Madera
,
Postal Code:
94925
Nathaniel Philbrick - Bunker Hill

05/22/2013 - 6:00pm

Street:
1 Ferry Building

City:
San Francisco
,
Province:
California

Postal Code:
94111

Country:
United States
John Lescroart - The Ophelia Cut

05/22/2013 - 7:00pm

Street:
51 Tamal Vista Blvd

City:
Corte Madera
,
Postal Code:
94925

Country:
United States
Eve Ensler - In the Body of the World

05/22/2013 - 7:00pm

Street:
Dominican University of California

Additional:
Angelico Hall, 50 Acacia Avenue

City:
San Rafael
,
Postal Code:
94901
David Carter - Princess Bugs

05/23/2013 - 10:00am

Street:
51 Tamal Vista Blvd

City:
Corte Madera
,
Postal Code:
94925