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Dipper The National ®
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The Magazine for Frozen Dessert Retailers, Published by United States Exposition Corp.
1532 Oregon Trail, Elk Grove Village, IL 60007-7226 • Phone: 847/301-8400 e-mail: lynda@nationaldipper.com • Web: www.nationaldipper.com _____ YES, I want to receive The National Dipper magazine, subject to the license stated below.
_____ No, please remove my name from your mailing list.
Type of Firm (Check All That Apply)
_____ Ice Cream Dipping Store - 1 _____ Soft Serve - 2 _____ Frozen Yogurt - 3 _____ Frozen Custard - 4 _____ Gelato - 5 _____ Italian Ice - 6 _____ Vending Vehicle/Catering - 7 _____ Concession Stand - 8 _____ Dairy & Convenience - 9 _____ Supplier of Goods & Services - 11 _____ Distributor - 12 _____ Supplier/Dist. Salesperson-13 _____ Broker-14 _____ Other - 15 _____________________
Your Title (Check All That Apply)
_____ Owner - 1 _____ Partner - 2 _____ President - 3 _____ Vice President - 4 _____ Secretary/Treas. - 5 _____ Manager - 6 _____ Buyer - 7 _____ Salesperson - 8 _____ Representative - 9 _____ Other - 10___________
Do you make your own frozen desserts with a batch and/or continuous freezer?
_____ Yes _____ No
Do you serve food? ____ Yes ____ No
Average gallons of frozen desserts sold per week:
____ Up to 100 gallons - A ____ 151 to 200 gallons - C ____ 101 to 150 gallons - B ____ 201 plus gallons - D Your Name____________________________________________________________________
City ___________________________ State _______ Zipcode _____________ Plus 4_________
Phone Number (_______) ________________ Fax Number (______)______________________
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If the mailing address above is not your store address, please include your store address below:
The National Dipper Magazine and The National Dipper Source Books (the “Works”) contain proprietary information of the publisher and are licensed, not sold. In consideration for your substantially completing and returning this form to the publisher, which act shall be deemed sufficient evidence of your acceptance of this non-exclusive, non-transferable, license, the publisher (a) grants you the limited right to use these works in your business, provided that you do not sell, resell, reproduce, distribute, or transmit in any form or by any means, including without limitation, electronic, optical or mechanical means (by way of example and not limitation, photocopying or recording by or in an information storage retrieval system) these Works, either in part or in their entirety, without prior written permission of the publisher, and (b) agrees to provide you with a complimentary copy of the work.The National Dipper reserves the right to restrict subscriptions to qualified subscribers only. All information must be provided and the card must be signed or subscription request will not be fulfilled. INCOMPLETE FORMS CANNOT BE PROCESSED OR ACKNOWLEDGED
AND MAY RESULT IN CANCELLATION OF YOUR SUBSCRIPTION.
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