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

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Bookstore Membership Form, Fiscal Year 2022-23

General Information

Bookstore Name(Required)

Your Name(Required)

First Last

Your Email(Required)

Select Your Membership Category(Required)

1-5 Employees

6-20 Employees

21-50 Employees

51-100 Employees

101+ Employees

Bookstore Phone(Required)

Bookstore Mailing Address(Required)

Must accept USPS deliveries.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Physical Address & Mailing Address the same

My store's physical address & mailing address are the same

No physical address

My store does not have a physical address

Bookstore Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Does your bookstore have multiple locations?(Required)

Yes

No

A member of the MPIBA team will contact you for the address(es) of your other locations. Please list the address of your main branch above.

What year did you store open?

If your store is not open yet, please list the month and year you plan to open (or best estimate).

Bookstore Website(Required)

If your store does not have a website, write NO WEBSITE.

Designate Voting Member/Main MPIBA Contact

One representative from each member bookstore is allowed to vote on association business. Please indicate the voting member of your store below.

I am my store's voting member and main contact

I am my store's voting member

Name of Voter(Required)

First Last

Voter's Email(Required)

Additional Information

The questions below will help us get to know your store better. The more we know about our members, the better we can serve you! Please fill in the following if possible, otherwise scroll to "Payment" at the bottom to complete your membership.

Bookstore Speciality/Focus (if any)

i.e. Children's, Mystery

Do you sell books on your website?

Yes

No

Do you sell e-books?

Yes

No

Which service do you use for e-books?

Do you sell audiobooks?

Yes

No

Which service do you use for audiobooks?

What Inventory Management Software does your store use?

Does your store use Edelweiss?

Yes

No

I don't know what this is

Does your store use Edelweiss Analytics?

Yes

No

I don't know what this is

Do you report your sales to any of the following?

New York Times

BookScan

ABA

None of these

Other

Other: Please Specify(Required)

Approx. Store Square Footage

Approximately what percentage of your book inventory is made up of used books?

100% used books

75% used books

50% used books

25% used books

0% used books

Please check all that apply to your store:

Black owned

Indigenous owned

Latino/Hispanic owned

AAPI owned

LGBTQ+ owned

Woman owned

Other

None of the Above

Other: Please Specify(Required)

Please list staff members other than yourself that should receive MPIBA newsletters and information.

Click the + icon to add more.

Name

Job Title

Email Address

Facebook URL

Instagram URL

Payment

Optional Donation - Bookseller Grants

Donations support MPIBA's various bookstore grant programs, including travel, professional development, and store improvement grants.

First time member?

Enter FIRST below to have your dues waived for your first year.

Total

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Total

Credit Card

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Copyright 2018 Mountains & Plains Independent Booksellers Association