Please complete all questions and answer them accurately. Failure to provide accurate information will delay processing of your application. Answers are required
for all questions marked
'*'.
You may also print this application and send it to us via
regular postal mail.
Email Address
*
(If you don't have an email address, click to get a Free email account now.)
Gender
Birthdate (MMDDYYYY) *
Middle name
*
Last name *
First name
*
Street Address (Please do not enter a P.O. Box address, business, or employment address)
*
City
*
State or Province *
Zip or Postal
Code *
If you do not live in the state of Georgia
or Metro-Atlanta area,
are you planning to relocate to these areas within the next 3 months ?*
Country
Your Primary Phone
*
Why are you interested in joining Sisters and Brothers of HotLanta? (Tip: Please be specific. What you say really matters.)*
Please enter a 6 digit or letter password that will be used as your membership id
*
Please enter a 6 digit or letter hint to
help your remember you membership id
*
Select the geographical chapter are you are applying
for:
*
Select the chapter representing the age
group that is most appropriate for you *
Membership dues are $75.00 per year. Are you
willing to accept this financial obligation *?
What social or civic issues do you enjoy lending support to ? To select multiple social
or civic issues, press the CNTRL key after your selection.
If there is a civic or social ssue that you would prefer to lend assistance that is not listed
in the above selections, please describe it here:
Please list and describe any civic or social organizations that you have participated in.
Please share any awards or honors you received as well:
What days are most convenient for you to attend or host book club activities ?
What times are most convenient for you to attend or host book club activities ?
Would you like to be added to our marketing mailing list to receive news about upcoming events
and opportunities for readers of African American literature?
What is your highest level of education attained ?
What is your occupation ? (If applicable)
Are you currently a member of a book club? If so, give name and location of the book club
below:
Have you ever been a member of a book club ? If so, please give the name and location of
the book clubhere:
If you enjoy any genre of literature not listed in the previous choices, please specify
here:
Are there any authors of particular interest to you ?
What kinds of entertainment do you enjoy ?To select multiple entertainment
choices, press the CNTRL key after each selection.
If your are submitting your application by postal mail please mail to:
The Sisters and Brothers of HotLanta Book Club
1420 Chardin Drive
Marietta, Ga. 30062
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