Vendor Application

• SUPPORTING VENDOR APPLICATION •

For membership eligibility and benefits, please visit our website: www.episcopalbooksellers.org

Supporting Vendor Dues:

Supporting Vendor (Annual fee: $300.00)

Contact Information

Vendor Name*

Representative's Name*

First NameLast Name

Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

Fax Number

Area CodePhone Number

E-mail*

Website

Product Information

Core Products of interest to EBA Member Stores.*

This list will be included in your profile sent to EBA stores.

Membership fees are due with application. Membership in Episcopal Booksellers Association is for the calendar year from January 1 - December 31. Memberships renewed during the year are through December 31 as well.

Make your check payable to: Episcopal Booksellers Association

Please mail your check to:
Episcopal Booksellers Association
PO Box 58132
Fayetteville, NC 28305

You may also pay your membership fees by credit card. If you would like to pay by credit card, proceed below.

Credit Card Payment

USDMembership in EBA

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Thank you for joining Episcopal Booksellers Association. Your password for the "Members Only" section will be emailed to you.If you wish to send messages to our member stores, please contact our Executive Director, Bill Hunter, at director@episcopalbooksellers.org.