Publisher Promotions Store Sign-up

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Fill out this form to be added to the recipient list for our weekly publisher promotion emails. Please note that is is a members only benefit and will result in membership invoicing if your NAIBA membership is not current.

First Name
*

Last name *

Email *

Role in store *

Store name *

Store address *

Store city *

Store state (two letter abbreviation) *

Store zip code *

In which region is your store located? *

Please click the button below to acknowledge that submitting this form will place you on a list to receive emails from NAIBA. *

Yes, I give permission for NAIBA to add me to their email recipient list.

Required

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