Giver's Name * Giver's Address * Giver's City * Giver's State * Giver's Zip * Giver's Phone * Giver's Email * 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 CAPTCHAThis question is for testing whether you are a human visitor and to prevent automated spam submissions.