User Group Registration

* Required fields

User group name*

URL

Operating state/Province*

Group leader*

Address line 1*

Address line 2

City*

State/Province*

ZIP/Postal Code*

Country*

Phone

Email*

How often do you meet?

Number of group members?*

Group Topic*

Other Interests

Do you have an Email mailing list?

Yes

Would your group members be interested in reviewing titles and publishing these reviews?

Yes

Pearson