Book Club Form

Name*
First Last
Name and/or Brief Description of Book Group (i.e., neighborhood or work club)*
Email*
Phone*
Preferred Format*
- Have Julie visit in person
- Telephone
- Video Chat
Physical Address if in-person meeting
Street Address City State ZIP Code
Call-in Phone Number if by telephone
Skype Handle or FaceTime Number if videochat
Approximate Number of Attendees*
Preferred Date*
Preferred Time*

: Hours

Minutes

AM/PM
Please indicate your time zone*
Alternate Date & Time
Will everyone generally have read the novel being discussed?*
- YES
- NO
Would you like to be added to Julie's newsletter?*
- Yes
- No
Should I bring copies of my novels for purchase if meeting in-person?
- YES, bring copies for sale
- No, not necessary