The Magazine for Frozen Dessert Retailers


The National Dipper® Subscription Form

You can download a subscription form in a PDF format using Adobe® Reader® (which can be downloaded for free) to view and print the document.

Fill it out and mail or fax it to The National Dipper, 1028 W. Devon Ave., Elk Grove Village, IL 60007, Fax: 847-301-8402. Or you can fill in the information below and print the resulting page, sign the form and mail it. Incomplete forms and forms without a signature will not be processed. You cannot submit this application electronically. Please allow eight to ten weeks to receive your first copy. PLEASE INCLUDE A COPY OF YOUR BUSINESS CARD WITH THIS APPLICATION.

 

Type of Firm
(Check All That Apply)

If other, please explain:
Your Title
(Check All That Apply)
If other, please explain:
Average gallons of ice cream/frozen yogurt/soft serve sold per week
Do you make your own ice cream with a batch and/or continuous freezer? Yes No
Do you serve food? Yes No
Your Name:
Company Name:
Business Address:
City:
State:
Zipcode:
Plus 4:
Phone number: ( )
Fax number: ( )
Email:
Web Address:
Sales Tax ID Number:
State Issuing Tax ID:
Date:
   


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.

NOTE: The National Dipper reserves the right to restrict subscriptions to qualified subscribers only. All information must be provided or subscription request will not be fulfilled. Please allow 8 to 10 weeks for your first issue to arrive. The National Dipper is mailed on the 15th of the first month of publication (i.e. the January/February issue is mailed January 15th).

 
   For comments about the web page contact  

  The National Dipper
  1028 W. Devon Ave.
  Elk Grove Village, IL 60008
  847.301.8400
  847.301.8402 fax