Word Up CSB Share
Please fill out this form to sign up for a Word Up community-supported bookshop share online. After we process your information, we will send you an email confirmation with a receipt you can bring to the store to redeem your goods. If you would like us to mail your tote bag in advance, please indicate on the form. Thanks!!!
Sign in to Google to save your progress. Learn more
Name *
The name of the person typing into this form.
Name on Share
This is only necessary if different from above—for instance, if this is a gift. If a gift, then put the recipient's name above.
Street Address *
e.g. 123 Mambi Road
City, State, Zip Code *
e.g. New York, NY 10033
Phone
Please include area code.
Email *
Type of share? *
If you are not sure, it is most likely a "Basic Share." (We are rolling out the other types over the next month.)
If this CSB is a gift for someone else, and you would like us to *not* email the recipient until a certain date, please let us know the date here:
I understand that by signing up for a Word Up CSB online, I will be receiving a printable email receipt that I must bring to the store (4157 Broadway) to claim my gifts. I understand that, once in store, the wooden coins are only redeemable for used books priced $5 or under. I understand that if the store moves locations before I redeem my gifts, I will be allowed to use my wooden coins at a future location. *
Required
Do you want to receive your tote bag sooner than when you'll next be at the store? Let us know! *
Submit
Clear form
Never submit passwords through Google Forms.
GoogleForms
This content is neither created nor endorsed by Google.