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

Fiscal Year July 2020 to June 2021

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

Bookstore Website*

If your bookstore does not have a website, please enter NO WEBSITE in the box below.

Donation - "Give a Bookseller a Lift"

Supports grants to booksellers to attend MPIBA events

Coupon

Credit Card

Card Details

Cardholder Name

Total

$0.00

Bookseller Membership – Enrollment & Dues