Richmond Public Library Book Club Registration Form Book Club

							                         Richmond Public Library
                       Book Club Registration Form



Book Club Name: __________________________________________________
Contact Person: ___________________________________________________
Phone Number: ___________________________________________________
Contact Email: ____________________________________________________


Current vacancy in club: yes___ no___


Members:
Full Name & Library Card Number:
   1. _______________________________ _________________________
   2. _______________________________ _________________________
   3. _______________________________ _________________________
   4. _______________________________ _________________________
   5. _______________________________ _________________________
   6. _______________________________ _________________________
   7. _______________________________ _________________________
   8. _______________________________ _________________________
   9. _______________________________ _________________________
   10. _______________________________ _________________________




Return this form to any branch of Richmond Public Library before borrowing your
first Book Club set.


Attention:
Marion Goriak
Brighouse (Main) Branch
#100 – 7700 Minoru Gate
Richmond, BC