<form accept-charset="UTF-8" action="https://kg151.infusionsoft.com/app/form/process/abdda1b7062fae5f1b41c65149d68d51" class="infusion-form" id="inf_form_abdda1b7062fae5f1b41c65149d68d51" method="POST"><!-- [et_pb_line_break_holder] --> <input name="inf_form_xid" type="hidden" value="abdda1b7062fae5f1b41c65149d68d51" /><!-- [et_pb_line_break_holder] --> <input name="inf_form_name" type="hidden" value="Web Form submitted" /><!-- [et_pb_line_break_holder] --> <input name="infusionsoft_version" type="hidden" value="1.69.0.97" /><!-- [et_pb_line_break_holder] --> <div class="infusion-field"><!-- [et_pb_line_break_holder] --> <label for="inf_field_FirstName">First Name *</label><!-- [et_pb_line_break_holder] --> <input class="infusion-field-input" id="inf_field_FirstName" name="inf_field_FirstName" placeholder="First Name *" type="text" /><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="infusion-field"><!-- [et_pb_line_break_holder] --> <label for="inf_field_LastName">Last Name *</label><!-- [et_pb_line_break_holder] --> <input class="infusion-field-input" id="inf_field_LastName" name="inf_field_LastName" placeholder="Last Name *" type="text" /><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="infusion-field"><!-- [et_pb_line_break_holder] --> <label for="inf_field_Email">Email *</label><!-- [et_pb_line_break_holder] --> <input class="infusion-field-input" id="inf_field_Email" name="inf_field_Email" placeholder="Email *" type="text" /><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="infusion-field"><!-- [et_pb_line_break_holder] --> <label for="inf_option_Wherewillyouhostthebookclub">Where will you host the book club? *</label><!-- [et_pb_line_break_holder] --> <div class="infusion-radio"><!-- [et_pb_line_break_holder] --> <div class="options-container"><!-- [et_pb_line_break_holder] --> <span class="infusion-option"><!-- [et_pb_line_break_holder] --> <input id="inf_option_Wherewillyouhostthebookclub_1127" name="inf_option_Wherewillyouhostthebookclub" type="radio" value="1127" /><!-- [et_pb_line_break_holder] --> <label for="inf_option_Wherewillyouhostthebookclub_1127">In Person</label><!-- [et_pb_line_break_holder] --> </span><!-- [et_pb_line_break_holder] --> <span class="infusion-option"><!-- [et_pb_line_break_holder] --> <input id="inf_option_Wherewillyouhostthebookclub_1129" name="inf_option_Wherewillyouhostthebookclub" type="radio" value="1129" /><!-- [et_pb_line_break_holder] --> <label for="inf_option_Wherewillyouhostthebookclub_1129">Online</label><!-- [et_pb_line_break_holder] --> </span><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <div class="title"><!-- [et_pb_line_break_holder] --> <div class="title" contentid="title"><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <span>If in person, where will your book club be located?</span><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="infusion-field"><!-- [et_pb_line_break_holder] --> <label for="inf_custom_City1">City</label><!-- [et_pb_line_break_holder] --> <input class="infusion-field-input" id="inf_custom_City1" name="inf_custom_City1" placeholder="City" type="text" /><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="infusion-field"><!-- [et_pb_line_break_holder] --> <label for="inf_custom_State0">State</label><!-- [et_pb_line_break_holder] --> <input class="infusion-field-input" id="inf_custom_State0" name="inf_custom_State0" placeholder="State" type="text" /><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="infusion-field"><!-- [et_pb_line_break_holder] --> <label for="inf_custom_ZipCode">Zip Code</label><!-- [et_pb_line_break_holder] --> <input class="infusion-field-input" id="inf_custom_ZipCode" name="inf_custom_ZipCode" placeholder="Zip Code" type="text" /><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="infusion-field"><!-- [et_pb_line_break_holder] --> <label for="inf_custom_Whywouldyouliketohostabookclub">Why would you like to host a book club? 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