MIBA Membership July 2017-December 2018: Bookseller
MIBA is shifting to a calendar-based membership year. As such, all members for the 2017/18 year will have membership extended through the end of 2018. Renewal will take place in January 2019. Booksellers are voting members of the association. Dues are $120 per company. Multiple storefronts owned by the same company are considered a single member.
Store Info
Bookstore Name *
Your answer
Would you like to enroll in automatic renewal?
Select "Yes" below if you would like MIBA to automatically renew your dues at the end of the membership year. If you do not wish to be an ongoing member of MIBA, select "no"
Do you operate in multiple locations?
If you mark yes, we will be in touch to ensure that we have correct information about each storefront.
Street Address (if multiple stores, use flagship) *
Your answer
City, State, Zip *
Your answer
Store website
Your answer
General Store Email (not personal email)
Your answer
Phone
Your answer
Fax
Your answer
Blog URL
Your answer
Facebook URL
Your answer
Twitter handle
Your answer
Additional Social Media Accounts & URLs
Your answer
Month and year store opened
Your answer
POS system used
Your answer
Square footage of store
Your answer
What percentage of your merchandise is sidelines/non-book items?
Your answer
Population of your town or city
Estimates ok
Your answer
Would you like to participate in Midwest Connections? *
Are you Aware of the Book Industry Charitable Foundation (BINC)? *
Where do you report your sales?
check all that apply
What genres or sections best characterize your inventory?
What types of books do you sell?
What else describes your store?
Staff Info
Primary Contact
Who should MIBA contact with basic correspondence?
Your answer
Title
Your answer
Email
Your answer
Year entered bookselling
Your answer
Additional Staff
Please provide the names, titles, emails, and years entered bookselling for any additional staff at your store.
Your answer
Payment Information
By submitting this form, you agree to be invoiced for $120. Payment can be made securely online upon receipt of the invoice, or you can pay by check. Please make checks payable to "Midwest Independent Booksellers Association." Thank you for your membership!

Carrie Obry, Executive Director
2355 Louisiana Avenue N, Suite A, Golden Valley, MN 55427
Phone (612) 208-6279, Fax (612) 354-5728
carrie@midwestbooksellers.org

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