| Part 2 |
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| Person Completing This Form |
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| Business Name: |
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| Owner’s Name: |
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| Manager’s Name: |
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| Mailing Address: |
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| Street Address (if different from mailing address): |
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| City: |
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| State: |
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| Zip: |
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| Phone: |
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| Fax: |
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| E-mail Address: |
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| Web Address: |
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| Part 3 |
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| Prospective Bookseller |
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| Please complete Part 2 above for contact person(s) and supply the following information: |
| Address of proposed bookstore: |
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| City: |
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| State |
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| Zip: |
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| Projected opening date: |
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| Please provide two business references: |
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| (1) Name: |
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| Company: |
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| Address: |
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| Phone: |
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| (2) Name: |
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| Company: |
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| Address: |
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| Phone: |
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| Sales Tax Number: |
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| Employer ID Number: |
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| Please contact MPIBA once your store is open! |
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| Part 4 |
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| Currently operating a bookstore |
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| Please supply the following information: |
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| Storefront |
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| Mail Order Only |
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| Internet Only |
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| Other |
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| Year Opened: |
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| Year Current Owner Purchased Store: |
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| Store Hours: |
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| Total Number of Employees (include yourself if applicable): |
| Full-time: |
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| Part-time: |
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| Square Footage: |
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| Square Footage devoted to books:% |
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| Total Number of Titles Stocked: |
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| Used Books: % of titles stocked |
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| Do you offer out of print searches? |
Yes
No |
| Do you participate in a “Buy Local” consortium? |
Yes
No |
| If yes, name and website of consortium |
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| If no, are you interested in receiving information on creating such a group? |
Yes
No |
| Does your store produce a newsletter? |
Yes
No |
| If yes: |
Print
Online |
| Do you use Constant Contact for your web newsletter? |
Yes
No |
| Other? |
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| (If your store does produce a newsletter, please add MPIBA to your mailing list.) |
| Is yours a general bookstore? |
Yes
No |
| If you have a specialty bookstore, please check the appropriate box in the list below. |
| Antiquarian/Used |
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| Art/Antiques |
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| Audio |
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| Children’s/Education |
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| College/University |
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| Ethnic |
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| Feminist/Lesbian/Gay |
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| Legal |
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| Literature |
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| Medical |
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| Metaphysical/New Age |
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| Museum |
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| Mystery |
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| Nature/Science |
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| Personal Growth/ Recovery |
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| Poetry |
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| Regional |
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| Religion/Philosophy |
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| Romance |
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| Science Fiction/ Horror |
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| Technical |
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| Travel |
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| Other |
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| Does your store have: |
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| a café |
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| a coffeeshop |
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| other |
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| Do you belong to the ABA? |
Yes
No |
| I would like to receive information about the American Booksellers Association: |
Yes
No |
| I would like to receive information about the American Booksellers Foundation for Free Expression(ABFFE): |
Yes
No |
| Are you a Book Sense store? |
Yes
No |
| Are you a booksense.com store? |
Yes
No |
| Do you report to the Book Sense Bestseller list? |
Yes
No |
| If no, would you like a fellow MPIBA bookseller to call and help you with setup? |
Yes
No |
| Your store’s annual gross sales volume: (This information is solely for the use of MPIBA, to help us more effectively serve you): |
| $0-$125,000 |
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| $125,000-$250,000 |
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| $250,000-$500,000 |
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| $500,000-$750,000 |
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| $750,000-$1.5 million |
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| $1.5 million up |
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| % from book sales |
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| Inventory Systems/Ordering |
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| Computerized Inventory System name: |
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| What percentage of orders do you place with: |
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| publishers |
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| wholesalers |
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| Do you feel that your Inventory Control System provides you with data analysis and reports that you need to remain competitive? |
Yes
No |
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| Comments |
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| Please list any subjects you think would be useful to you as part of an educational seminar: |
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| Comments |
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| Positive or negative. We want to hear from you! |
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Book Awards