Reading Group Registration - group co-ordinator to complete

Use this form if you wish to register your reading group.

Group name. *

Meeting address - include postcode.

Group organiser's name.

Home address

Landline telephone number including STD/dialling code. Do not include spaces.

Mobile phone number.

Email address.

Collection point - please select a library. *

As organiser for the reading group named above, I accept responsibility for the items issued to the reading group named above and agree to observe the rules (www.lancashire.gov.uk/libraries) *

I agree

Today's date. *

For staff use only.

* indicates that you must supply an answer

Thank you - we will be in touch.

You will find details on how we look after your personal data in our privacy notice