WCW BOOK CLUB REGISTRATION

WCW BOOK CLUB REGISTRATION
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
How often do you read?

DailyWeeklyRarelyNot at allOther
List books you would like to read within the book club.
What would you like to achieve from the book club?
Please share any ideas or suggestions that would make your book club experience better.
Please make payment to the following Bank account. ($100TT-Quarterly) Please send proof of payment to wearfitcommunity@gmail.com.

Bank: Republic Bank Limited

Branch: Mayaro

Account name: WearFit Community

Account #: 4708 0125 5101

Account type: Chequing

THANK YOU FOR YOUR TIME.

WE ARE HAPPY TO HAVE YOU!
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