Please complete the following information and submit the form or print it and fax to the number listed below. I look forward to doing business with you.

Ujamaa (cooperative economics)

Business Name:
Street Address:
City:
State:
Zip Code:
Phone:
Fax:
Email Address:
Web Site Address:
Owner/Buyer:
Type of Business:
# of Years in Business:
Resale Number:
Are you able to provide a business credit information sheet?    Yes    No
You may also print the above form, complete it, and fax it to (510) 534-4036. For more information, call (510) 912-0232 or email booktales@comcast.net. I look forward to doing business with you. In the spirit of cooperative economics - Ujamaa!