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J. Dennis Gold Membership, $95.00 lists your shop on our National Internet Directory plus entitles you to all Member privileges such as Private Access Member Forums, special offers, special mailings, customer handouts and articles, Customer Wish List, use of our customer and member database and more. Gold Member shops are listed using their unique store logo and are entitled to add any of the “Available Icons� to their listing as well as be placed on our Specialty Pages (Furniture, Antiques, Gentlemen, Plus Size, Charity, Maternity and Vintage). To view the “Available Icons� click here. Gold Membership is for one-year. Silver Membership, $49.99 is a six (6) month modified version of the Gold Membership. Upgrade to a Gold Membership at any during Silver Membership by paying the difference before your Member expiration date for the reduced rate. Directory Listing Only, $25.00 lists your shop on our directory for one-year without becoming a member. Nonmember listed shops will not receive access to the Private Access Member Message Board, customer *Wish List*, special logo on your listing, specials offered only to our members. On-Line Only Shops require a Web Link fee. Additional Locations, $25.00 per year. Gold Membership privileges apply to each additional location. Please supply complete information on additional locations. Web site linking - Silver and Directory Listing Only require an additional $25 per year fee. On-Line Only Shops require a Web Link fee. - Request a web site of your own - $100.00 one time fee, no other charges. Please click here for clarification and choices... web site info Total Included $ _____________ Checks and money orders are accepted for payment however, they MUST BE MADE OUT TO J. DENNIS . Because we are an internet company a land bank was underutilized and therefore not cost effective. You may add ConsignmentShops.com to the Memo Section of your check. We apologize for the inconvenience. Contact Person: (name & title) ______________________________________________________ Store Name: _____________________________________________________________________ Please provide the name of the font used in your logo/store name:___________________________ Brief description of your specialty. This will appear as your tag line on the directory: (women's consignment; antiques and furniture; children's clothing and accessories; etc.) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Email Address: ____________________________________________________________________ Do you want your email address listed on the website for customer accessibility? Yes or No If you have already registered to use our message board, please include your User Name here. ______________________________________________________________________________ If not, we suggest you do that now on-line. You can not sign up on this form (tip: Your Shop’s Name and State is a good User Name. e.g., Charlotte’s Threads of NJ) Physical Address: _________________________________________________________________ ________________________________________________________________________________
State, City & Zip: _________________________________________________________________ County (not country): _____________________________________________________________ On-Line Only Shops should indicate ON-LINE ONLY in the Physical Address space above and include how customers can consign with you. e.g., Local residents welcome to drop-by; by appointment only; interested consignors call... Telephone Numbers: ______________________________________________________________ Fax Number: (by supplying your fax number, you authorize us to send faxes) _________________ Does your shop specialize in or have an extensive (more than 20 pcs) “Antiques/Reproductions� Does your shop specialize in or have an extensive (more than 8 gowns) “Bridal� Department? Does your shop specialize in or have an extensive (more than 10 pcs) “Furniture� Department? Yes or No Does your shop specialize in or have an extensive (more than one rack) “Maternity Department�? Yes or No Does your shop specialize in or have an extensive (more than one rack) “Men’s Department�? Yes or No Does your shop specialize in or have an extensive (more than one rack) “Plus Size Department�? Does your shop specialize in or have an extensive (more than one rack) “Vintage Department�? Yes or No Any items sell particularly well in your shop and you would like consignors to bring more of throughout the year? e.g., red hats, cribs, size 12 shoes... THREE (3) ITEMS MAX ________________________________________________________________________________ Is your shop active with a particular charity? Yes or No If Yes, which one __________________ Please give details as to how your shop is active by writing on the back of this form.
If you would like your listing linked to your own web site, please include an additional $25 to the above fee. Web Address: __________________________________________________________ Does your web page address allow customers to shop on-line from your site? Yes or No Does your web site offer a coupon to visitors? If so, please submit the link ________________________________________________ If you would like a link to your EBAY STORE you must provide the link. Please make sure this link works before submitting the link. ________________________________________________ It will appear exactly as it appears above. Do you consider your shop an Auction Drop-Off site, selling on-line for your customers? _______
please explain in the comments section below Comments: ____________________________________________________________________ _______________________________________________________________________________ How did you find us? Referred by whom?: ____________________________________________ If you have additional locations, please use a separate registration form for each location. We suggest choosing Directory Listing Only for additional locations. If you don't have a web page of your own and would like a one-page static web page, please include an additional $100 plus:
Please refer to www.ConsignmentShops.com for more information or to see what a one-page web page will look like. Thank you. Phone (609) 561-8939 Fax (609) 561-0095 Read “List Your Shop� for more information
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