Vendor Form Please Select Location Type*Single Copy Vendor New LocationBulk Drop (Hotels/Real Estate)Business Name* Contact Person* Street Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Billing Address, if different: Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Number*Email* INFORMATION FOR SINGLE COPY VENDORS BILLING/PAYMENT: The location is billed for magazines after each delivery unless a location is set up on a pay-by-scan basis. After the next issue is delivered, the location is billed for the number of magazines sold, which will be noted on the delivery slips. Vendors are responsible for payment of all issues returned within 30 days on the invoice date. DELIVERY: As each new issue is delivered, the store representative will sign a receipt showing how many issues were delivered and picked up. TAX: Vendors are responsible for collecting sales tax and remitting to the state. Wholesale prices for Athens Magazine Cover Price Wholesale Price Retailers Profit Athens Magazine 4 issues per year Vendor $3.95 $2.95 $1.00 INFORMATION FOR BULK ORDER VENDORS BILLING/PAYMENT: The location is billed for magazines after each delivery. DELIVERY: As each new issue is delivered, the location representative will sign a receipt showing how many issues were delivered and picked up. Wholesale prices for Athens Magazine Cover Price Bulk Price Savings Athens Magazine 4 issues per year Vendor $3.95 $2.50 $1.45 REQUEST ISSUESPlease indicate the number of issues you would like to receive:*Publication dates: Spring, Summer, Fall, and Winter. Please indicate any specific delivery instructions (point person to ask for) and merchandising (rack preference) needs:Signature In lieu of an actual signature, please type your name as you normally sign it.Title* Date* MM slash DD slash YYYY If you have any questions, please call:Kimberly Stewart Audience Development Athens Magazine 706-828-4391 kimberly.stewart@athensmagazine.anthilldev.net