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