Reading Group Registration - group co-ordinator to complete

Use this form if you wish to register your reading group.

Group name.  *
Meeting address - include postcode.
Group organiser's name.
Home address
Landline telephone number including STD/dialling code. Do not include spaces.
Mobile phone number.
Email address.
Collection point - please select a library.  *
As organiser for the reading group named above, I accept responsibility for the items issued to the reading group named above and agree to observe the rules (   *
I agree
Today's date.  *
For staff use only.
* indicates that you must supply an answer

Thank you - we will be in touch.

You will find details on how we look after your personal data in our privacy notice