Writers SuperCenter: Writers Software Buyer's Clubs -- Inquiry Form

TO CONTACT US ABOUT YOUR POSSIBLE INTEREST IN HAVING YOUR OWN Buyer's Club STORE,
AND/OR ABOUT HAVING US CARRY YOUR PRODUCT,
PLEASE SUBMIT THIS FORM
(Or you can print out the form and send it to:
Writer's SuperCenter, Irwin Berent, Buyer's Clubs Start-Up, 560 Roland Drive, Norfolk, VA 23509.)

The information requested here is used solely to better help us to address your possible interest in our service. This will allow us to present you with a sample of what your store would look like if you choose to use it. There is, of course, no obligation.

Please fill out as much as you can. Leave the rest blank, and we'll get back to you promptly.

The only thing REQUIRED is that you fill in your name and your email address so that we may respond to this form.

Allow 24 to 48 hours for the preparation of the sample of your store.

GENERAL INFO:
*** (required) Your name:

*** (required) YOUR EMAIL ADDRESS:
(required in order to send reply)

Your company (if applicable):

Your address:

Your City, State, Zip:

Your phone number:

The website address of your main page:

The website address of the main graphic/logo of your main website:
(for instance, if your logo is mysitelogo.gif located in a sub-directory called /img at http://www.mysite.com, then the website location would be http://www.mysite.com/img/mysitelogo.gif)

The email address to which you would want all order confirmations to be sent:

PRODUCT INFO

If you currently sell product(s) that you are the producer of and that you might want to include in the Buyer's Club, please fill out the following.

(Fill out separately for up to three products; you can describe any additional products generally at the end of this form.)

Product #1:
The name of your product:

The price that the product sells for on your site:

The lowest price that resellers sell the product for:

Describe your product in at least two sentences:
The website address of the main page describing your product
(if different from above):

Product #2:
The name of your product:

The price that the product sells for on your site:

The lowest price that resellers sell the product for:

Describe your product in at least two sentences:
The website address of the main page describing your product
(if different from above):

Product #3:
The name of your product:

The price that the product sells for on your site:

The lowest price that resellers sell the product for:

Describe your product in at least two sentences:
The website address of the main page describing your product
(if different from above):

BRIEFLY DESCRIBE ANY OTHER PRODUCTS THAT YOU MIGHT LIKE TO OFFER:

ANY QUESTIONS OR COMMENTS YOU MAY HAVE:

PLEASE SUBMIT YOUR INQUIRY:
(Or you can print out the form and send it to: Writer's Software Buyer's Clubs, Irwin Berent, Start-Up Department Coordinator, 560 Roland Drive, Norfolk, VA 23509)
To print, right-click your mouse in this window; then select "print."