Bookstore Membership Renewal

Bookstores: Renew Your MIBA Membership!

Thank you for your continued participation in our association of independent bookstores. We believe we are stronger together. Please fill out the form below to renew your membership.
Bookstore Name *
Your Name *
Your Email *
example@example.com
Store Address *
Street Address
Street Address Line 2
*
City
*
State
*
Zip Code
Before proceeding, please check our member database to make sure we have up-to-date information for your store.
Do we have the correct store phone number in our database? *

Yes No
Bookstore Phone Number

Area Code Phone Number
Are you the primary contact for your store? *

Yes No
Primary Contact
Primary Contact E-mail
Primary contact role at bookstore

Owner Manager
Primary Mailing Address

Same as bookstore address Different than bookstore address
Mailing Address
Street Address
Street Address Line 2
City
State
Zip Code
If you have a new store logo, please upload it here.

Browse Files

Cancel of
Do we have the correct website and social media URLs for your store?

Yes No
Store Website URL
Store Twitter URL
Store Facebook URL
Store Instagram URL
Is your store currently a member of the American Booksellers Association? (Membership in ABA is not required for MIBA membership.)

Yes No

Additional Staff
Provide the names, titles, and emails of anyone on your staff that you would like to receive correspondence from our association. This form has room for up to 5 additional staff. If you would like to add more than this, please contact Kate Scott at kate@midwestbooksellers.org.
Name 1
Email 1
example@example.com
Title / Role 1

Owner Co-Owner Bookseller Event Coordinator Book Buyer Manager Marketing
Bookstore 1

Additional Staff 2
Name 2
Email 2
example@example.com
Title / Role 2

Owner Co-Owner Bookseller Event Coordinator Book Buyer Manager Marketing
Bookstore 2

Additional Staff 3
Name 3
Email 3
example@example.com
Title / Role 3

Owner Co-Owner Bookseller Event Coordinator Book Buyer Manager Marketing
Bookstore 3

Additional Staff 4
Name 4
Email 4
example@example.com
Title / Role 4

Owner Co-Owner Bookseller Event Coordinator Book Buyer Manager Marketing
Bookstore 4

Additional Staff 5
Name 5
Email 5
example@example.com
Title / Role 5

Owner Co-Owner Bookseller Event Coordinator Book Buyer Manager Marketing
Bookstore 5

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Additional Updates: Please let us know any store updates that weren't covered in this form.
Please let us know if you have suggestions for things MIBA could be doing more of for bookstore members.
New vs. Renewal

New Renewal

Payment

MIBA Bookstore Membership ( $ 150.00 one-time payment)

Bookstores: Renew Your MIBA Membership!