Membership Sign up Form
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) are mandatory.
Details
Please mark which job types you would like to receive Quote Request emails for:
Annual Reports
Forms - (Business/Carbonless/Continuous)
Art Prints
Greeting Cards
Banners/Signs
Invitations
Booklets
Labels
Books - (Hard Cover)
Letterhead/Stationery
Books - (Soft Cover/Paperback)
Magazines
Brochures/Pamphlets
Menus
Business Cards
Newsletters
Calendars
Newsprint - (Newspapers/Tabloids/Other)
Catalogs
Postcards/Mailers
CD or DVD - (Covers/Inserts/Jackets)
Posters
Copying/Duplicating
B&W Printing
Decals
Color Printing
Directories
Digital Printing
Door Hangers
Giclee Printing
Envelopes
Lithographic Printing
Flyers/Sell Sheets
Screen Printing
Folders - (Pocket/Presentation/Other)
Other
Which category of printer best describes you?
--Select a category--
Quick
Commercial
Digital
Screen Print
*
How long have you been in Business?
--Select an option--
Less than 1 year
1-4 years
4-8 years
More than 8 years
*
How did you find us?
Additional Comments
Contact Information
*
First Name
*
Last Name
*
Company Name
*
Position
*
Address (Please use the Address associated with your Credit Card)
*
City
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State
--Select a state--
AL
AK
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AR
CA
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CT
DE
DC
FL
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ID
IL
IN
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MA
MI
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MS
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NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
*
Zip/Postal Code
*
Phone
Fax
*
Email
Website
Membership
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Membership Term
Every Two Weeks : $99
Month to Month : $225
Quarterly (Every 13 Weeks) : $620
*
Select Payment Method
Credit Card
PayPal
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VISA
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Discover
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Credit Card #
(please do not use spaces or dashes)
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Card Verification Number
(last set of digits on the back of your card)
*
Expiration
--Select a month--
January
February
March
April
May
June
July
August
September
October
November
December
2010
2011
2012
2013
2014
2015
2016
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2018
2019
2020
*
Signature
(type in full name as it appears on credit card)
YES, I have read the
Legal Disclaimer.
YES, I understand that I will be notified at least Six weeks prior to any rate changes.
YES, the YourPrintRep system connects Printer and Buyer, no further liability exists.
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