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Stockholder Member Application Form

Information about yourself:
 First Name  Last Name
Are you over twenty-one years of age?   Yes   No
Information about your book business:

 Name
 Email
 Street Address
 City
 State/Province
 Country
 Zip or Postal Code 
 Phone Number    Fax Number
 Toll Free Number    Other Number

What, if any, is your Internet address web page (URL)?  If you have a web page through another current database services, you may indicate that web page address as well as any other independent web site you may have.


If you are not listed on-line, tell us a little more about your business, e.g. when was it started, specialties, size of stock, etc.?

I hereby assert that I am an independent book business with my own inventory; am not part of a chain or franchise; am not a subsidiary of another business; and that I am officially designated to represent the business noted above. The business is engaged in the sale of used, rare or collectible books; ephemera; and/or periodicals.
By signing and submitting this application I agree to abide by the Non-Disclosure and Disclosure statements, and the Code of Ethics found on adjacent pages.

__________________________________________ Name

__________________________________________ Signature

__________________________________________ Date


Print out this page complete it and mail to:
TomFolio.com, P.O. Box 392, Readville, MA 02137.

If after applying to purchase a share you want to start listing as soon as possible please click on this link Listing agreement and follow through on signing the listing agreement, setting up your TomFolio.com homepage, etc.

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