NCIBA - The Northern California Independent Booksellers Association

2009-2010 Membership Application

Yearly membership for regular Voting and Associate members is $75.00. The membership year runs April 1–March 31; we do not prorate. Membership entitles you to: ♦ Free admission to our Trade Show ♦ Invitation to educational programs ♦ Participation in member services programs ♦ Free subscription to our newsletter ♦ One free copy of the annual Rep Guide ♦ Appropriate inclusion (for Voting members only) on our web site ♦ Optional subscription to NCIBA ListServ ♦ Many other benefits. There is only one Voting Member per retail business; those bookstores with a Voting Member may designate Additional Members to receive the newsletter and other mailings for $35 per person. Retired members may rejoin as an Emeritus Member for $25; contact the office.

Basic Information

__Voting @ $75 per year*    __Associate @ $75 per year*    __Additional (Staff/Store Location) @ $35 per year

Voting members must be in a retail bookselling business whose storefront location and major place of business is in California. Associate Members include Sales Reps, Authors, Publishers, and other book trade professionals as well as gift stores, those selling books online or by catalog, prospective booksellers and the like.

Date: ___________  __Renewing Member   __New Member    Total Enclosed $ ________

Member Name _______________________________________________________________

Company ___________________________________________________________________

Address _____________________________________________________________________

City / State / Zip _____________________________________________________________

Phone ______________________________        Fax ________________________________

E-Mail ______________________________________________________________________

Website URL _________________________________________________________________

Membership Category

__Bookseller: Brick & Mortar
__Prospective Bookseller
__Bookseller: Mail Order/Online
__Sales Rep
__Publisher
__Wholesaler
__Sideline/Supply Vendor
__Media
__Literary Agent
__Author/Illustrator
__Librarian
__Publicist/Marketing Specialist
__Other ___________

Are you a member of any of the following organizations? If so, please check all that apply:
__ABA  __SCBA  __NCCBA

Bookstore Information

(Note: Individual figures are kept strictly confidential. Numbers will be combined and used for statistical purposes only.)

Are you a store with Book Sense?   __Yes   __No

Square Footage of store selling space ____________
Total annual sales from previous year $___________

Average number of titles in inventory ____________

Are you a   __General Bookstore or   __Specialty Bookstore?

If you are a General Store, please list up to three areas of concentration
1) ______________________   2) ________________________   3) ________________________

If you are a Specialty store, please check one:

__African-American
__Antiquarian
__Children’s
__College Store
__Computer
__Feminist/Women’s
__Foreign Language/ Multicultural
__Gay/Lesbian
__Museum
__Mystery
__Nature/Environment
__Newsstand/Magazines
__Science Fiction/Fantasy
__Spiritual/Metaphysical
__Travel
__Used Books
__Other ___________

Which Inventory System do you use? _______________________________

Are you a   __Single Independent Store or do you have   __Multiple Locations (how many? ________)?

What services do you offer?

__Special Orders
__Newsletter
__In-Store Events
__Catalog
__Out-of-Print Searches
__Other ___________

Would you like to receive the newsletter   __online or by   __US mail? Check one.

E-Mail _________________________________



Thank you for your interest.

Please make checks payable to NCIBA. Your cancelled check will be your receipt.

NCIBA, P.O. Box 29169, San Francisco, CA 94129-0169