| |
| What is your relationship to the recipient?: |
|
| What is does the recipient call you?: |
|
| Recipient's Favorite Subjects/Genres: (Romance, Biography, Urban Fiction, etc.) |
|
| What is the recipient's favorite hobby(s)?: |
|
| Favorite Book: |
|
| Favorite Author: |
|
| Is there any type of book the recipient dislikes? |
|
| Comments: |
|
| Fields denoted with * are required. |
| ********************************************************************************* |
| ABOUT YOU: |
| ( * ) Your Name: |
|
| ( * ) Your Address: |
|
| ( * ) Your Email: |
|
| ( * ) Your Phone #: |
Format: ###-###-####
|
| ( * ) Your Alternate Phone #: |
Format: ###-###-####
|
| What is the best way to contact you? |
Home Phone
Alternate Phone
Email
|
| How often would you like the recipient to receive a book? |
Monthly
Bi-Monthly
Quarterly
|
| When do you want your Gift of Reading to Start? (month/year) |
|
| Your Budget (the maximum amount per month): |
$20
$25
$30
$40
$50
|
| FREE GIFT: Your B's Books Gift Certificate will be sent to the address you listed above. |
|
|
