Book Club Request Form

Please submit all book club requests through this form so that we may order items in a timely fashion. Requests must be made at least 6 weeks in advanced

Which Book Club are you requesting for?

Please select your book club from this dropdown menu

Add

Title

Please fill in field with Title of book you are requesting

Author (Last Name, First Name)

Please fill in field with Author of book you are requesting

When are you discussing this title?

Please select your meeting date from the calendar below Meeting Date must be 6 weeks in the future.

Contact Person for Request

Please provide name, phone number, & email

# of Regular Print Copies

# of Large Print Copies

# of Audiobooks on CD

eContent Available?

If you are interested in us researching eContent availability for your book club please check the appropriate box below. We will send an email to the book club leader with that information.

Notes

Anything else you wish to tell us about this request

{name}

Status

Please select the checkbox below

Request Submitted

Do not submit passwords through this form. Report malicious form

Alert