Wufoo

Membership

YES I WANT TO BE A MEMBER OF PEOPLE’S BOOKS COOPERATIVE!

Name * First Last
Address *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone - (###) - ### ####
Email
How should we contact you? email telephone
Which contact method would you prefer?
Membership Type * Lifetime Membership -- $100 Annual Membership -- $20 (valid for one year from date of this application)
Volunteer

Would you like to volunteer for the cooperative?
When are you available to help? Mornings Afternoons Evenings Weekdays Weekends It varies -- let's talk!
Please check all that apply.
Do Not Fill This Out