Bookseller Membership - Enrollment & Dues - Mountains and Plains Independent Booksellers Association

19282

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Bookseller Membership – Enrollment & Dues

Fiscal Year July 2018 to June 2019
Bookstore Name*
Select Your Membership Category*
Membership Contact Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Donation - "Give a Bookseller a Lift"

Supports grants to booksellers to attend MPIBA events
Total
$0.00
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name