Turning Pages Book Club Membership Application The fields marked with (*) are required fields.   Date (mm/dd/yy): * Name:  * required * Address:  * required * City:  * required   State: * Zip Code:  * required * Home Phone:  * required   Email Address:   Birthday:   Office Phone:   Office Fax:   Office E-mail * May we list you in our roster? Yes No   Favorite Author(s):   Favorite Genre:   Would you consider yourself an avid reader? Yes No   How often do you read?   How many books do you read per wk/mo/yr?   Have you ever been in a book club? Yes No   If so, which one?   Are you still a member? Yes No   If not, why?   What are you looking for in a book club?   What will you contribute to a book club?   Comments:     Membership Dues for 12 months:$75.00 Due and payable January 1st of each year Make checks payable to: Turning Pages