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Agency Plan Sign-Up Form
* Denotes required field.
Sign up for the Agency Plan and become eligible to receive an additional 10% off the regular discount on some of our best-selling products, which are ideal for bookstore reference sections. Click on agency plan to see the entire list.
 
Note: In order to qualify for the Agency Plan, a store must have on hand or on order a total of $1,000 in products, consisting of 20 different titles, from the Agency Plan list.
 
* Today's Date:          
* Store Name:          
* Address:          
           
* City:     * State:  
* Zip:     * Country:  
* Phone:     * Fax:  
* E-Mail:          
 
* Buyer's Name:          
* LWW Account #:          
* LWW Rep Name:          
* AP $ On Hand:          
* # Titles On Hand:          

Today's AP Order:          
* PO#:          
* $ Order Total:          
* # AP Titles:          
 
Note: In order to qualify for the Agency Plan, a store must have on hand or on order a total of $1,000 worth of products from the Agency Plan list. The selection must consist of a minimum of 20 different titles.