1. First Name and Last Name (required)

2. Date of Birth (required)

3. Sex (required)
Male
Female

4. Address (required)

5. Region (required)

6. Phone (required)

7. Email (required)

8. Occupation (required)

9. Company Name (required)

10. Introduced By (required)

11. Why would you like to join our book club

12. What Kind of Books do you Like

13. Who is your favourite author First Name and Last Name

14. How would you get to know about Pickabook
Facebook
Email
Friend
Whatsapp
Instagram
Linkedin
Other

15. Would you be interested in joining as a presenter
Yes
No

16. Would it be okay if you are added in a whatsapp group for updates on the upcoming sessions Yes
No

17. Are you interested in receiving the below (if you are kindly mark them)
Book Reviews
New Books Published
Book Summaries

18. Location (required)

I accept to follow the policies and guidelines of pickabook
I Agree