Reading and Discussion Program Request Form
Before submitting this form, call VHC to tentatively reserve the series. Forms should be submitted no later than 6 weeks before your first scheduled session. At this time we are unable to accept payment online, full payment details are provided on the booking confirmation.


1. Series Information






2. Program Site/Sponsor Information



3. Book Shipping Address
If your site address is a PO Box or you would like to receive books at a different address, please enter a shipping address
4. Program Coordinator

5. Publicity Contact
If different from Program Coordinator



6. Cost
Cash match, books, and completed evaluation forms must be remitted to the council within 2 weeks after the end of the program. Sponsoring organizations may not charge fees to participants

 * Required
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