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Retail Membership Application

*Organization Name:
  
*Delegate First Name:
*Address 1:
  
*Delegate Last Name:
Address 2:
*Title:
*City:
  
*Phone:

ext:
*State:
  
*Email address:
*Zip:
  
*Please re-enter your Email address:
Country:
Alternate First Name:
*Phone:
  
Alternate Last Name:
*Fax:
  
Title:
Company Homepage:
  
Phone:

ext:
 * (required fields)
Email address:
Principal Type of Business:
Drug Store Mass Merchant/Discount Specialty - Hardlines
Department Store Restaurant/Food Service Supermarket/Grocery
Home Center Specialty-Apparel Super Store
 
Other:
 
 
TYPE OF MEMBERSHIP:
  
Regular - An IBM POS User, or a user of any part of this system in a retail environment.
 
Annual Dues $195.00
Membership dues must accompany this application. You can pay with a credit card at the end of this application.
All applications are subject to approval by the Board of Directors.
EQUIPMENT AND APPLICATIONS SURVEY:
1. EQUIPMENT (Please check the appropriate responses)
Type of Equipment Date of Installation # of Locations Number Installed
4683   Year:
4684   Year:
4693   Year:
4694   Year:
4695   Year:
4614 SureOne   Year:
4830 SurePoint   Year:
SurePOS 700   Year:
PC   Year:
PS/2   Year:
RF   Year:
Other Equip   Year:
ISP:
4680 4690 AS/400 RS/6000
4684 4694 PS/2 OEM
Software:
CSA SA Price Management
GSA SMA Specialty Store
RA/DOS Food Service SurePOS ACE
Other:
Platforms:
4680/4690 Windows 2000 Linux
DOS Windows XP Unix
OS/2 Windows 98 AIX
JAVA Windows NT  
Other:
       
2.  Check the Appropriate responses
       
Maintenance:
IBM Self Other: IBM
Polling:
Dial Satellite
Frame Delay Other:
SKU Capture: Short Long    
UPC Scanner: CCD Flatbed Laser  
  Wand Other  
Check Authorization:      
Type: Controller Negative Host Positive Host Negative Signature Capture
Source: Own File Bureau File  
Credit Authorization:
  Private Card Host Positive Controller Negative  
Credit Bureau Authorization:
 
AmericanExpress Debit Card
Bank Card To Clearing House
       
3.  Check the Appropriate responses for in-store applications/solutions
Applications/Solutions Present Future
Computer Assisted Ordering
Computer Based Training
Customer Loyalty
Data MIning
DSD
e-Commerce
Electronic Coupon Redemption
Electronic Payment Systems
Electronic Shelf Labels
Frequent Shopper
Gift Registry
Handheld POD for Line Busting
Information Kiosks
Intranet
Labor Scheduling
Layaway
Other
Loss Prevention
Payments on Account
PCs as POS Terminals
Perpetual Inventory
Plan-O-Gram
POS Markdowns
Receiving
Sales Analysis
Sales Forecasting
Self Checkout
Stock Locator
Stock Replenishment
Stock Transfers
Store Web Access
Time & Attendance
Web Training
Wireless Handheld
 
Membership dues for new Retail members registering for 2009 conference will be waived.
Go directly to Register for conference on the next page.