Aunt Lydia Book Club Registration

posted by bookpassage on Thu, 06/24/2010 - 7:44pm

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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Aunt Lydia Book Club Registration