All fields marked with '*' denotes mandatory fields DONOR Name: * DONOR Address: * DONOR City, State & Zip Code: * DONOR Phone: * DONOR Email: * GIFTEE Name: (If giving as a gift to someone else) GIFTEE Age: (please include especially if giftee is under 18 years old) GIFTEE Address: GIFTEE City, State & Zip Code: GIFTEE Phone: GIFTEE Email: Do you want to send hardback, paper back or a mix: * Hardcover includes the most recent releases. FREQUENCY: * 4 IN A ROW - four books over four months BI MONTHLY - one book every two months, 6 books total for the year ANNUAL - one book a month, 12 books total for the year Would you like us to include a special message in the initial recipient letter?: We will send a letter advising the recipient of your Perfectly Picked Book Club gift membership. Please list those book genres or categories which most interest your Perfectly 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: Special Instructions (if any): CAPTCHAThis question is for testing whether you are a human visitor and to prevent automated spam submissions.