logo-text.gif (2896 bytes)  College Store Membership Application

Please complete the application form, print it out, and mail your dues payment with the application to: IACS, Station A - Box 2245, Champaign, IL 61825.  The online submission is incomplete until payment of dues are received at IACS.
ission is Annual dues (July 1-June 30) for College Store Membership is $70.00.

Name Date
Title Your e-mail
How long in position?
Store name
How long in business?
Street
City State Zip
Phone #            Fax #  
Web site address
Store e-mail
Name of school
Immediate supervisor
Check one: Private     Co-op     Institutionally owned
Is store only college or general retail?
If private,
please give name and address of owner
Store hours
Do reps need an appointment?
 

Annual volume

 under $250,000
$250,000 to $500,000
$500,000 to $1 million
$1 to $3 million
over $3 million
Typical student enrollment of
institution served
           Would you be willing to participate in committees or other IACS affairs?
Are you a member
of NACS?
Other people to be included on membership list:
Text Buyer Trade Buyer
e-mail e-mail
Supply Buyer Asst Manager
e-mail e-mail
Gen Merch Buyer Office Manager
e-mail e-mail
 

Type(s) of merchandise

 

 Other 1
e-mail
Other 2
e-mail
 Three manufacturers who are associate members of IACS, with whom you do business
      Names of college stores competing with you in your vicinity

       

Reminder: Online submission is incomplete until dues are received at IACS

Copyright © Illinois Association of College Stores, 2002-2006