First Name:
Last Name:
Store Type:
Church Store
Christian Bookstore
Gift Store
Email:
Church Name:
Bookstore Name:
Your Title:
Select One
Manager
Frontline Staff
Prospective Store
Other
Do you have buying authority for your store?
Yes
No
Average Weekly Attendance:
Select One
Less Than 1,000
1,001 - 1,500
1,501 - 2,000
2,001 - 3,000
3,001 - 5,000
5,001 - Higher
Annual Store Sales:
Select One
Less than $25,000
$25,001 - $50,000
$50,001 - $100,000
$100,001 - $250,000
$250,000 - $500,000
$500,001 - $1,000,000
over $1,000,000
Prospective Store (No Sales Yet)
Sales Floor Space:
Select One
Less than 500
501 - 1000
1,001 - 2,500
2,501 - 5,000
5,001 & Higher
Are you planning to increase your sales space in 2008?
Yes
No
Do you have a POS system in use at your store?
Yes
No
If yes, which system?
Select One
Bookstore Manager
Book Log
Other
Are you a member of CBA?
Yes
No
How old is your store?
Select One
Inside One Year
1 -3 Years
4 -10 Years
11- 20 Years
20 Years or more
Store Street Address:
Address Line 2
City:
State:
Select One
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Country:
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, Democratic Republic
Cook Islands
Costa Rica
Côte d'Ivoire (Ivory Coast)
Croatia (Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea (north)
Korea (south)
Kuwait
Kyrgyzstan
Laos People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territories
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (US)
Yemen
Zaire
Zambia
Zimbabwe
Store Phone Number:
( )
-
Home Phone Number:
(
)
-
Cell Phone Number:
(
)
-
Your Email Address:
Enter image code into this box
IMPORTANT INFORMATION:
~ CANCELLATION POLICY; After registering, if you are unable to attend the conference, we suggest you locate someone to take your place.
If this is not possible, contact the conference office prior to December 1st, 2008. You will receive a refund minus a $25 processing fee.
No refunds will be given after December 1st, 2008. Refunds may take four to six weeks to process.
~ All returned checks will be charged a $25 fee.
Do you have any questions regarding your registration? Contact Dave Condiff at 407-333-7110