Book Club Scholarship Application

Book Club Scholarship Application

Want to join the summer book club but can't afford to buy three new books? No problem. Apply here and we'll notify you ASAP.
Name *

First Name Last Name
Email *
example@example.com
Mailing Address *

Street Address

Street Address Line 2

City State

Zip Code
I can make the following sessions:

July 14 - Book 1 Discussion Late July (TBD) - Book 1 Event August 10 - Book 2 Discussion August 24 - Book 2 Event September 15 - Book 3 Discussion Late September (TBD) - Book 3 Event All of the above None of the above
We need either a phone number or a social media profile where we can contact you if we can provide you with a scholarship:
Social media handle
Please include which platform you're on!
Phone Number
Will be used to provide delivery updates
Should be Empty: